Individual provider Active NPI

Tiffany Loeffler, DPT

  • Orthopedic Physical Therapist
  • Roseville, CA
National Provider Identifier
1376723866
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
34203 Issued in CA
Practice address
140 Diamond Creek PL Ste 125
Roseville, CA 95747-7188
Phone
(916) 206-3612
NPI assigned
Nov 13, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 34203 CA Primary

Addresses

Primary practice location

140 Diamond Creek PL Ste 125
Roseville, CA 95747-7188

Mailing address

140 Diamond Creek PL Ste 125
Roseville, CA 95747-7188
Phone (916) 206-3612

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081208000546 CA Practitioner - Physical Therapist in Private Practice 5092898155 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Milestone Physical Therapy IncGroup PAC ID 0547662553, 11 clinicians

Practice addresses (Care Compare)

140 Diamond Creek PL
Suite 125
Roseville, CA 95747-6654
Phone (916) 206-3612

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34203CAMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Milestone Physical Therapy Inc Orthopedic CurrentSince Apr 24, 2021 Accepting new patients

Locations

140 Diamond Creek Pl
Ste 125
Roseville, CA 95747
Phone (916) 206-3612

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1194912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1376723866",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 DIAMOND CREEK PL STE 125",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477188",
            "telephone_number": "916-206-3612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DIAMOND CREEK PL STE 125",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "957477188",
            "telephone_number": "916-206-3612"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOEFFLER",
        "first_name": "TIFFANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-13",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "34203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roseville, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2020; 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.