Active NPI
Tiffany Caitlin McNeely, DPT
- Physical Therapist
- San Antonio, TX
National Provider Identifier
1427691203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1296509
- Practice address
- 2203 Babcock Rd
San Antonio, TX 78229-4412 - Phone
- (210) 614-3911
- NPI assigned
- Oct 23, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1296509 | TX | Primary |
Addresses
Primary practice location
2203 Babcock Rd
San Antonio, TX 78229-4412
Mailing address
11015 Oaktree Park
San Antonio, TX 78249-4440
Phone (361) 463-3883
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
101 Silvermine Rd
Suite 300
Brookfield, CT 06804-2047
1138 Royal Eagle Dr
Fischer, TX 78623-2520
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1296509 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Romtherapy New Jersey Medical PA | Current | Accepting new patients | |
| Romtherapy Inc | Physical Therapist | Past | Accepting new patients |
Locations
22505 Imperial Valley Dr
Ste 155
Houston, TX 77073
Organizations & group practices 2
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": "1571788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571788800000",
"number": "1427691203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11015 OAKTREE PARK",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782494440",
"telephone_number": "361-463-3883"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 BABCOCK RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782294412",
"telephone_number": "210-614-3911"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCNEELY",
"first_name": "TIFFANY",
"middle_name": "CAITLIN",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-10-23",
"last_updated": "2019-10-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1296509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 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.