Individual provider Active NPI

Tiffany Higgins Thieme, PT

  • Physical Therapist
  • Slidell, LA
National Provider Identifier
1407923667
Registry record updated Dec 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
04156 Issued in LA
Practice address
200 N Military Rd
Slidell, LA 70461-1624
Phone
(985) 641-2996
Fax
(985) 639-8014
NPI assigned
Nov 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 04156 LA Primary

Addresses

Primary practice location

200 N Military Rd
Slidell, LA 70461-1624

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other names 1

  • Tiffany Powell Higgins Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050407000427 LA Practitioner - Physical Therapist in Private Practice 0941258164 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physiofit Physical Therapy, LLCGroup PAC ID 3274767702, 36 clinicians

Practice addresses (Care Compare)

71121 Hwy 21 D Physiofit- Nol
Covington, LA 70433-7151
Phone (985) 898-3979

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
04156LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Physiofit Physical Therapy, LLC Physical Therapist CurrentSince Jan 9, 2024 Accepting new patients
Physiofit Louisiana LLC Physical Therapist CurrentSince Jul 24, 2020 Accepting new patients
BBV, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

71121 Highway 21
Ste D
Covington, LA 70433
Phone (985) 898-3979

120 White Rose Dr
Raceland, LA 70394
Phone (985) 532-9662

2965 Gause Blvd E
Slidell, LA 70461
Phone (985) 231-6475

200 N Military Rd
Slidell, LA 70461
Phone (985) 590-5029

4038 Pontchartrain Dr
Slidell, LA 70458
Phone (985) 641-2996

Organizations & group practices 4

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": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607299200000",
    "number": "1407923667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 N MILITARY RD",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704611624",
            "telephone_number": "985-641-2996",
            "fax_number": "985-639-8014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIEME",
        "first_name": "TIFFANY",
        "middle_name": "HIGGINS",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2020-12-07",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "04156",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "HIGGINS",
            "middle_name": "POWELL",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Slidell, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 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.