Active NPI
Tiffany Thompson
- Physical Therapy Assistant
- Springdale, AR
National Provider Identifier
1295449247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1482
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 31419 | FL | MD | Physical Therapist |
| 1482 | AR | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springdale Public Schools | Current | 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.
-
- Local Education Agency (LEA)
- Springdale, AR
- NPI 1205989746
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.