Tiffany Leigh Naekrsz

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

754-19 Issued in WI

Practice address

10285 Sheridan Rd
Pleasant Prairie, WI 53158-5432

Phone

(262) 308-8231

NPI assigned

Jun 30, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1309392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347840000000",
    "number": "1306133194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10285 SHERIDAN ROAD",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531583115",
            "telephone_number": "262-308-8231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10285 SHERIDAN RD",
            "city": "PLEASANT PRAIRIE",
            "state": "WI",
            "postal_code": "531585432",
            "telephone_number": "262-308-8231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAEKRSZ",
        "first_name": "TIFFANY",
        "middle_name": "LEIGH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-06-30",
        "last_updated": "2012-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "754-19",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapy Assistant in Pleasant Prairie, WI
• Providers in Pleasant Prairie, WI by specialty
• Physical Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2012; 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.