Individual provider Active NPI

Sara Tiffany-Kent

  • Mechanotherapist
  • Vancouver, WA
National Provider Identifier
1528450376
Registry record updated Mar 2, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
MechanotherapistTaxonomy code 172M00000X
License
60449613 Issued in WA
Practice address
1605 NW 87TH Cir
Vancouver, WA 98665-6025
Phone
(503) 833-2830
NPI assigned
Mar 2, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mechanotherapist 172M00000X 60449613 WA Primary

Addresses

Primary practice location

1605 NW 87TH Cir
Vancouver, WA 98665-6025

Mailing address

1605 NW 87TH Cir
Vancouver, WA 98665-6025
Phone (503) 833-2830

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

State licenses

LicenseStateTypeSpecialty
60449613WAMDMechanotherapist

NPI Registry JSON

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

{
    "created_epoch": "1425254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425254400000",
    "number": "1528450376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 NW 87TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986656025",
            "telephone_number": "503-833-2830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 NW 87TH CIR",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986656025",
            "telephone_number": "503-833-2830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIFFANY-KENT",
        "first_name": "SARA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-03-02",
        "last_updated": "2015-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "WA",
            "license": "60449613",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vancouver, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2015; 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.