Tiffany Nicole Nielsen, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1498 Issued in WY

Practice address

1103 E Boxelder Rd Ste U
Gillette, WY 82718

Phone

(307) 686-8177

Fax

(307) 686-9484

NPI assigned

Oct 25, 2017

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

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

212 Degrees LLCGroup PAC ID 3072648468, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• 212 Degrees, LLC

  dba Rehab Solutions

  • Physical Therapist
  • Gillette, WY
  • NPI 1154653400

  Multi-Specialty

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1508889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537142400000",
    "number": "1346752847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD STE U",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "827185582",
            "telephone_number": "307-686-8177",
            "fax_number": "307-686-9484"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 E BOXELDER RD STE U",
            "city": "GILLETTE",
            "state": "WY",
            "postal_code": "82718",
            "telephone_number": "307-686-8177",
            "fax_number": "307-686-9484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "508 Stocktrail Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163582",
            "country_code": "US",
            "telephone_number": "307-688-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "508 Stocktrail Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Gillette",
            "state": "WY",
            "postal_code": "827163582",
            "country_code": "US",
            "telephone_number": "307-688-8000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIELSEN",
        "first_name": "TIFFANY",
        "middle_name": "NICOLE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-25",
        "last_updated": "2018-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "1498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Therapeutic Solutions LLC
• Kandi Newhall
• Danielle Newman
• Steve Nichols, DDS
• Andrew Nielsen, PT, DPT
• Noamie J Niemitalo, BSW, CSW, MS
• NJN Solutions & Consulting LLC
• Wanda Noftsker, CRC
• Dawn M Nolan, PA-C
• North East Wyoming Family Medicine

• Physical Therapist in Gillette, WY
• Providers in Gillette, WY by specialty
• Physical Therapist in Wyoming

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.