Tiffany Elizabeth Antos, P.T.
Individual provider Active NPI Physical Therapist · Aspen, CO
NPI 1386709293 · NPPES record last updated Jan 19, 2010
Key facts
- NPI
- 1386709293
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 6178 (CO)
- Practice address
- 333 E Durant Ave
Aspen, CO 81611-1839 - Phone
- (970) 274-1293
- Fax
- (970) 544-0775
- NPI assigned
- Dec 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6178 | CO | Yes |
Addresses
Primary practice location
333 E Durant Ave
Aspen, CO 81611-1839
Mailing address
PO Box 4504
Aspen, CO 81612-4504
Phone (970) 274-1293
Other providers in Aspen, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 19, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.