Individual provider Active NPI

Tiffany Thompson

  • Physical Therapy Assistant
  • Springdale, AR
National Provider Identifier
1295449247
Registry record updated Jan 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
1482 Issued in AR
Practice address
409 N Thompson St
Springdale, AR 72764-4118
Phone
(479) 750-8800
NPI assigned
Jan 12, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 12, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 31419 FL
Physical Therapy Assistant 225200000X 1482 AR Primary

Addresses

Primary practice location

409 N Thompson St
Springdale, AR 72764-4118

Mailing address

14100 Lake Point Dr
Lowell, AR 72745-8653
Phone (719) 640-6842

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address info@sdale.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
31419FLMDPhysical Therapist
1482ARMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Springdale Public Schools CurrentSince Jan 15, 2023 Accepting new patients

Locations

409 N Thompson St
Springdale, AR 72764
Phone (479) 750-8800

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1673481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1295449247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14100 LAKE POINT DR",
            "city": "LOWELL",
            "state": "AR",
            "postal_code": "727458653",
            "telephone_number": "719-640-6842"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "409 N THOMPSON ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727644118",
            "telephone_number": "479-750-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-12",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "31419",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "1482",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "info@sdale.org",
            "affiliation": "N",
            "address_1": "409 N Thompson St",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727644118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.