Tiffani Rose Zolezzi, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22927 Issued in CA

Practice address

8868 Gentle Wind Dr
Corona, CA 92883-4971

Phone

(714) 267-3071

NPI assigned

Jan 23, 2018

Reactivated

Apr 29, 2020

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

Other names 1

• Miss Tiffani Rose Milazzo Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1516665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1356849483",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8868 GENTLE WIND DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834971",
            "telephone_number": "714-267-3071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8868 GENTLE WIND DR",
            "city": "CORONA",
            "state": "CA",
            "postal_code": "928834971",
            "telephone_number": "714-267-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOLEZZI",
        "first_name": "TIFFANI",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-23",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "deactivation_date": "2018-03-01",
        "reactivation_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANI",
            "last_name": "MILAZZO",
            "middle_name": "ROSE",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapist in Corona, CA
• Providers in Corona, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2020; 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.