Individual provider Active NPI

Tiffany Strickert, D.P.T.

  • Physical Therapist
  • Oxford, MS
National Provider Identifier
1306021548
Registry record updated Jan 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT4841 Issued in MS
Practice address
2205 Jefferson Davis Dr
Oxford, MS 38655-5221
Phone
(662) 238-2800
Fax
(662) 238-2808
NPI assigned
Jan 7, 2008
Last updated
Jan 17, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2012

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 029882-1 NY
Physical Therapist 225100000X PT4841 MS Primary

Addresses

Primary practice location

2205 Jefferson Davis Dr
Oxford, MS 38655-5221

Mailing address

PO Box 1016
Oxford, MS 38655-1016

Other names 1

  • Dr. Tiffany Rathbauer Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240925003779 CA Practitioner - Physical Medicine and Rehabilitation 0840460937 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dean Sports Consultants Physical Therapy IncGroup PAC ID 7214238112, 4 clinicians

Practice addresses (Care Compare)

201 Calle de Los Molinos
San Clemente, CA 92672-3874
Phone (949) 388-5692

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT4841MSMDPhysical Therapist
029882-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Rehabilitation of Oxford, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326758400000",
    "number": "1306021548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1016",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386551016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2205 JEFFERSON DAVIS DR",
            "city": "OXFORD",
            "state": "MS",
            "postal_code": "386555221",
            "telephone_number": "662-238-2800",
            "fax_number": "662-238-2808"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STRICKERT",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2012-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "029882-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4841",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "RATHBAUER",
            "prefix": "DR.",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oxford, MS

Sources for this page

Verify at the official NPI Registry.