Marie Michael Tippenhauer, ASSOCIATE

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA11635 Issued in FL

Practice address

12301 Taft St Ste 200
Pembroke Pines, FL 33026-4387

Phone

(954) 312-3449

NPI assigned

Jul 21, 2011

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1311206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1311206400000",
    "number": "1467740639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4340 BEECHWOOD CIR",
            "city": "WESTON",
            "state": "FL",
            "postal_code": "333315012",
            "telephone_number": "954-217-3056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12301 TAFT ST STE 200",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330264387",
            "telephone_number": "954-312-3449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPENHAUER",
        "first_name": "MARIE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mrs.",
        "credential": "ASSOCIATE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-07-21",
        "last_updated": "2011-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "FL",
            "license": "OTA11635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Allyson Marie Timmons, LMHC
• Jennifer Timothee Arnoux
• Timur a Sekercioglu
• Tina Dicicco Reynolds, PA
• Royletta Tinsley, MHC, MFT
• Cristina Tirotta, MS CCC-SLP
• Noemi Zelideth Tisminesky Cardier, DDS
• Mara Hill Tittler, FNP
• TLC Womens Health Center, LLC
• Joselin Antonia Tobal

• Occupational Therapy Assistant in Pembroke Pines, FL
• Providers in Pembroke Pines, FL by specialty
• Occupational Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.