Individual provider Active NPI

Tiffany G Adkins

  • Occupational Therapist
  • Eagle River, AK
National Provider Identifier
1487893863
Registry record updated Jan 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
12812 Old Glenn Hwy Ste A3
Eagle River, AK 99577-7003
Phone
(907) 317-9349
NPI assigned
Feb 9, 2009
Last updated
Jan 25, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X Primary

Addresses

Primary practice location

12812 Old Glenn Hwy Ste A3
Eagle River, AK 99577-7003

Mailing address

11533 Targhee Loop
Eagle River, AK 99577-8008
Phone (907) 317-9349

Other practice location 1

1901 N Hemmer Rd Ste 109
Palmer, AK 99645-9690
Phone (907) 795-8115

Other practice location 2

613 S Knik Goose Bay Rd Ste E
Wasilla, AK 99654-8090
Phone (907) 317-5895

Other identifiers 1

IdentifierTypeStateIssuer
1023491MedicaidAK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeskills LLC Occupational Therapist Past Accepting new patients
Playful Learning Pediatric Therapy, LLC Past Accepting new patients

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674604800000",
    "number": "1487893863",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11533 TARGHEE LOOP",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995778008",
            "telephone_number": "907-317-9349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12812 OLD GLENN HWY STE A3",
            "city": "EAGLE RIVER",
            "state": "AK",
            "postal_code": "995777003",
            "telephone_number": "907-317-9349"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1901 N Hemmer Rd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Palmer",
            "state": "AK",
            "postal_code": "996459690",
            "country_code": "US",
            "telephone_number": "907-795-8115",
            "fax_number": "866-628-8601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "613 S Knik Goose Bay Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Wasilla",
            "state": "AK",
            "postal_code": "996548090",
            "country_code": "US",
            "telephone_number": "907-317-5895",
            "fax_number": "866-628-8601",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ADKINS",
        "first_name": "TIFFANY",
        "middle_name": "G",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2023-01-25",
        "certification_date": "2023-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023491",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Eagle River, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2023; 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.