Tiffany Boulware, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1145779 Issued in TX

Practice address

1000 N Preston Rd Ste 50
Prosper, TX 75078-8859

Phone

(972) 347-9756

NPI assigned

Nov 8, 2006

Last updated

Oct 22, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Peak Physical Therapy, LLCGroup PAC ID 0648583344, 95 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.3 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

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.

• Peak Physical Therapy, LLC

  • Physical Therapist
  • Prosper, TX
  • NPI 1700271913
  Medicare reassignment Care Compare group NPD
• Legacy Healthcare Services Inc.

  • Physical Therapist
  • Cedar Park, TX
  • NPI 1871132357
  Medicare reassignment NPD
• Orthotexas Physicians and Surgeons, PLLC

  dba OrthoTexas

  • Orthopaedic Surgery Physician
  • Plano, TX
  • NPI 1740590066
  Medicare reassignment NPD
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • McKinney, TX
  • NPI 1306147814
  NPD
• Orthotexas Physicians and Surgeons, PLLC

  • Orthopaedic Surgery Physician
  • Sherman, TX
  • NPI 1619541711
  NPD
• Peak Physical Therapy, LLC

  • Physical Therapist
  • Van Alstyne, TX
  • NPI 1104211317
  NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697932800000",
    "number": "1407925746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750104615",
            "telephone_number": "972-492-1334",
            "fax_number": "919-424-5085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N PRESTON RD STE 50",
            "city": "PROSPER",
            "state": "TX",
            "postal_code": "750788859",
            "telephone_number": "972-347-9756"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4780 N Josey Ln",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "TX",
            "postal_code": "750104615",
            "country_code": "US",
            "telephone_number": "972-492-1334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2300 Pool Rd",
            "address_purpose": "LOCATION",
            "city": "Grapevine",
            "state": "TX",
            "postal_code": "760514254",
            "country_code": "US",
            "telephone_number": "817-776-5113",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOULWARE",
        "first_name": "TIFFANY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-10-22",
        "certification_date": "2023-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1145779",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF TEXAS",
            "identifier": "1145779",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Trent Shakespear Boehm, DPM
• Anjelica Boley, MS
• Michael Francis Bonislawsi, RN
• Boom Pediatric Therapy
• Andrew Kamal Boulos, M.D.
• Kanika Alake Bowen-Jallow, MD
• Jacquelyn Bowen
• Kristen Kaye Bowling
• Jalisa Laray Boyd, RN
• Bradford White, PHD, PLLC

• Physical Therapist in Prosper, TX
• Providers in Prosper, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2023; 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.