Tiffany Clare Sinovic, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056-005719 Issued in IL

Practice address

13 Executive Dr
Suite 18
Fairview Heights, IL 62208-1342

Phone

(618) 624-8105

Fax

(618) 624-8214

NPI assigned

Sep 29, 2010

Last updated

Jul 26, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 1999

Medicare assignment

May accept Medicare assignment

Group practices

Crawl Walk Jump Run Therapy Clinic LLCGroup PAC ID 5294747002, 13 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Crawl Walk Jump Run Therapy Clinic LLC

  • Physical Therapist
  • Sterling Heights, MI
  • NPI 1730363573

  Multi-Specialty

  Medicare reassignment Care Compare group NPD
• Excel Institute of Shelby PC

  • Vision Therapy Optometrist
  • Shelby Township, MI
  • NPI 1205151503

  Multi-Specialty

  NPD
• Great Lakes Vision Rehabilitation PLLC

  • Vision Therapy Optometrist
  • Shelby Township, MI
  • NPI 1962118760
  NPD
• Boris Khariton MD PC

  • Physical Medicine & Rehabilitation Physician
  • Saint Peters, MO
  • NPI 1184847246

  Multi-Specialty

  NPD (past)
• Crawl Walk Jump Run Therapy Clinic

  • Rehabilitation Clinic/Center
  • Clinton Township, MI
  • NPI 1720488620
  NPD (past)

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

{
    "created_epoch": "1285718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564099200000",
    "number": "1396054987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48189 VAN DYKE AVE",
            "city": "SHELBY TOWNSHIP",
            "state": "MI",
            "postal_code": "483173268",
            "telephone_number": "586-731-9725",
            "fax_number": "586-488-0006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13 EXECUTIVE DR",
            "address_2": "SUITE 18",
            "city": "FAIRVIEW HEIGHTS",
            "state": "IL",
            "postal_code": "622081342",
            "telephone_number": "618-624-8105",
            "fax_number": "618-624-8214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SINOVIC",
        "first_name": "TIFFANY",
        "middle_name": "CLARE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-09-29",
        "last_updated": "2019-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "MI",
            "license": "5201008929",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056-005719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shabbir A Shaikh, MD
• Jerrion Devonta Shell
• Amber Shively
• Kelli Silhavy, LCSW
• Haley Christine Simpson, LCSW
• Riley Skube, PHARM D
• Jonathan Harold Smith, O.D.
• Tamieka Smith
• Tiara Snow
• Sound Mind Counseling LLC

• Occupational Therapist in Fairview Heights, IL
• Providers in Fairview Heights, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2019; 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.