Tiffany McConahay Tacto, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009364 Issued in GA

Practice address

105 N Main St
Ste C
Cleveland, GA 30528-1123

Phone

(706) 219-4507

Fax

(706) 865-1501

NPI assigned

Jul 14, 2008

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Christopher E. Doerr, D.O., P.C.

  dba Athens Neuro & Balance Rehabilitation

  • Physical Therapy Clinic/Center
  • Athens, GA
  • NPI 1982737821
  Medicare reassignment
• Independent Physical Therapy of Georgia, LLC

  dba BenchMark Physical Therapy

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068
  Medicare reassignment
• Milestone Pediatric Therapy Services, Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Jefferson, GA
  • NPI 1679915284
  NPD (past)

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

{
    "created_epoch": "1215993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574035200000",
    "number": "1316101983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6397 LEE HWY STE 300",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374214915",
            "telephone_number": "423-238-7217",
            "fax_number": "423-362-8684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 N MAIN ST",
            "address_2": "STE C",
            "city": "CLEVELAND",
            "state": "GA",
            "postal_code": "305281123",
            "telephone_number": "706-219-4507",
            "fax_number": "706-865-1501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TACTO",
        "first_name": "TIFFANY",
        "middle_name": "MCCONAHAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-14",
        "last_updated": "2019-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009364",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chelsea Brooke Strong, FNP
• Denise Meschelle Suggs, M.ED., LPC, BCPCC
• Lynsey Suggs, OTR/L
• Carrie Sumner, FNP
• Syah, LLC (Guilford Immediate Care)
• Yen Nhi Angelina Tang
• Paige Elizabeth Tatum, PTA
• Madison Testagrossa, PT, DPT
• The Jericho House
• Therapy for All, Inc

• Physical Therapist in Cleveland, GA
• Providers in Cleveland, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.