Keely Tiiman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2163605 Issued in TX

Practice address

12770 Coit Rd Ste 870
Dallas, TX 75251-1455

Phone

(972) 756-0500

Fax

(972) 756-0448

NPI assigned

Jan 7, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Oci Acquisition LLC

  dba Care Options for Kids

  • Home Health Agency
  • Dallas, TX
  • NPI 1326297441
  NPD

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

{
    "created_epoch": "1641513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641513600000",
    "number": "1497416796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12770 COIT RD STE 870",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511455",
            "telephone_number": "972-756-0500",
            "fax_number": "972-756-0448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12770 COIT RD STE 870",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752511455",
            "telephone_number": "972-756-0500",
            "fax_number": "972-756-0448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIIMAN",
        "first_name": "KEELY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-07",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2163605",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Phuong Quoc Tieu, D.C.
• Amanda Tift, CRNA
• Kristen Tignall, CRNA
• Delphine Tih, CRNA
• Monika Tiido, AU.D.
• Adisa A Tijani
• Alexandria Tijerina, RN
• Ethel-Sonia Tikum, APRN, NP-C
• Rebecca Tilden, MCN, RD, LD
• Mark A Till, MD

• Physical Therapy Assistant in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.