Individual provider Active NPI

Tiffany Difani, OT

  • Occupational Therapist
  • Pocahontas, AR
National Provider Identifier
1295206738
Registry record updated Dec 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3897 Issued in AR
Practice address
2007 Old County Rd
Pocahontas, AR 72455-4136
Phone
(870) 248-1448
NPI assigned
Dec 10, 2018
Last updated
Dec 29, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X NU
Occupational Therapist 225X00000X OTR3897 AR Primary

Addresses

Primary practice location

2007 Old County Rd
Pocahontas, AR 72455-4136

Mailing address

2007 Old County Rd
Pocahontas, AR 72455-4136
Phone (870) 248-1448

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240117000074 AR Practitioner - Occupational Therapist in Private Practice 3577915404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

1725 Batesville Blvd
Southside, AR 72501-7894
Phone (870) 701-5089

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Occupational Therapy Assistant CurrentSince Dec 28, 2023 Accepting new patients

Locations

2080 Harrison St
Ste A
Batesville, AR 72501
Phone (870) 569-8167

2080 Harrison St
Ste Ab
Batesville, AR 72501
Phone (870) 569-8167

416 N Main St
Ste 1
Cave City, AR 72521
Phone (870) 283-6757

803 Third St
Horseshoe Bend, AR 72512
Phone (870) 232-5555

103 Mountain Place Dr
Ste B
Mountain View, AR 72560
Phone (870) 269-5215

1725 Batesville Blvd
Southside, AR 72501
Phone (870) 455-9448

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1544400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703808000000",
    "number": "1295206738",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 OLD COUNTY RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554136",
            "telephone_number": "870-248-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2007 OLD COUNTY RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554136",
            "telephone_number": "870-248-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DIFANI",
        "first_name": "TIFFANY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-12-10",
        "last_updated": "2023-12-29",
        "certification_date": "2023-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.