Individual provider Active NPI

Tiffany Michelle Nolin, MPT

  • Orthopedic Physical Therapist
  • Martinez, GA
National Provider Identifier
1407822778
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT007558 Issued in GA
Practice address
3825 Forest Creek Way
Martinez, GA 30907-4110
Phone
(706) 267-8772
NPI assigned
Feb 27, 2006
Last updated
Aug 24, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, MI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160601002287 AL Practitioner - Physical Therapist in Private Practice 0042462327 Reassigns benefits to 3 organizations
I20260611001004 MI Practitioner - Physical Therapist in Private Practice 0042462327 Reassigns benefits to 1 organization

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
Restore Pelvic Health Physical Therapy, LLCGroup PAC ID 3072965441, 6 clinicians

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

LicenseStateTypeSpecialty
PT007558GAMDOrthopedic Physical Therapist
21577MDMDOrthopedic Physical Therapist
2305204420VAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hughston Clinic, P.C. CurrentSince Apr 11, 2016 Accepting new patients
Uab STV Orthopedics, LLC CurrentSince May 1, 2023 Accepting new patients
St. Vincent's Orthopedics, PC CurrentSince May 1, 2023 Accepting new patients
Hughston Clinic, PC CurrentSince Apr 11, 2016 Accepting new patients
Restore Pelvic Health Physical Therapy LLC Orthopedic CurrentSince Oct 15, 2024 Accepting new patients
Advanced Physical Therapy Inc PastSince Jan 1, 2006 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.

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.

Verify at the official NPI Registry.