Active NPI
Tiffany Michelle Nolin, MPT
- Orthopedic Physical Therapist
- Martinez, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT007558
- Practice address
- 3825 Forest Creek Way
Martinez, GA 30907-4110 - Phone
- (706) 267-8772
- NPI assigned
- Feb 27, 2006
- Last updated
- Aug 24, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305204420 | VA | |
| Orthopedic Physical Therapist | 2251X0800X | PT007558 | GA | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 21577 | MD |
Addresses
Primary practice location
3825 Forest Creek Way
Martinez, GA 30907-4110
Mailing address
3825 Forest Creek Way
Martinez, GA 30907-4110
Phone (706) 267-8772
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, MI
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1314 Westgate Pkwy
Suite 7
Dothan, AL 36303-2154
Phone (334) 268-5880
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT007558 | GA | MD | Orthopedic Physical Therapist |
| 21577 | MD | MD | Orthopedic Physical Therapist |
| 2305204420 | VA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hughston Clinic, P.C. | Current | Accepting new patients | |
| Uab STV Orthopedics, LLC | Current | Accepting new patients | |
| St. Vincent's Orthopedics, PC | Current | Accepting new patients | |
| Hughston Clinic, PC | Current | Accepting new patients | |
| Restore Pelvic Health Physical Therapy LLC | Orthopedic | Current | Accepting new patients |
| Advanced Physical Therapy Inc | Past | Accepting new patients |
Locations
161 E University Dr
Auburn, AL 36832
Phone (334) 699-5747
2700 10th Ave S
Ste 200
Birmingham, AL 35205
Phone (205) 938-7838
1314 Westgate Pkwy
Ste 7
Dothan, AL 36303
Phone (334) 268-5880
512 N Shady Ln
Dothan, AL 36303
Phone (334) 669-5747
2257 Taylor Rd
Montgomery, AL 36117
Phone (334) 245-6605
200 Montgomery Hwy
Ste 100
Vestavia Hills, AL 35216
Phone (205) 212-6655
6262 Veterans Pkwy
Columbus, GA 31909
Phone (706) 494-3071
6262 Veterans Pkwy
Unit B
Columbus, GA 31909
Phone (706) 494-3434
Organizations & group practices 7
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.
-
dba Restore Physical Therapy
- Physical Therapy Clinic/Center
- Dothan, AL
- NPI 1942948427
Orthopedic
-
dba Hughston Clinic Orthopaedics
- Orthopaedic Surgery Physician
- Birmingham, AL
- NPI 1710054432
-
- Orthopaedic Surgery Physician
- Troy, MI
- NPI 1649059742
-
- Durable Medical Equipment & Medical Supplies
- Newnan, GA
- NPI 1902682347
-
dba Hughston Clinic Orthopaedics
- Durable Medical Equipment & Medical Supplies
- Vestavia Hills, AL
- NPI 1801670278
-
- Physical Therapist
- Anchorage, AK
- NPI 1437214459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187913600000",
"number": "1407822778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3825 FOREST CREEK WAY",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309074110",
"telephone_number": "706-267-8772"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3825 FOREST CREEK WAY",
"city": "MARTINEZ",
"state": "GA",
"postal_code": "309074110",
"telephone_number": "706-267-8772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOLIN",
"first_name": "TIFFANY",
"middle_name": "MICHELLE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-02-27",
"last_updated": "2007-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "VA",
"license": "2305204420",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT007558",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "MD",
"license": "21577",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinez, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.