Tiffany B Parker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501021662 Issued in MI

Practice address

15151 Faust Ave
Detroit, MI 48223-2302

Phone

(248) 655-5800

NPI assigned

Jan 11, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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": "1641859200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641859200000",
    "number": "1326799412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15151 FAUST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232302",
            "telephone_number": "248-655-5800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15151 FAUST AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482232302",
            "telephone_number": "248-655-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARKER",
        "first_name": "TIFFANY",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-11",
        "last_updated": "2022-01-11",
        "certification_date": "2022-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501021662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689653305",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tiffany.parker@beaumont.org",
            "affiliation": "N",
            "address_1": "15151 Faust Ave",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482232302",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Lakeisha N Parker, O.D
• Libbyann Taylor Parker
• Mercedes Parker
• Neenee Vong Parker
• Nicole Parker
• Nicholas Parkinson, ATC
• April Parks
• Ashley E Parks, PA-C
• Emily Parks
• James Darryl Parks, FAODP

• Physical Therapist in Detroit, MI
• Providers in Detroit, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2022; 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.