Active NPI
Tiffany Carlin
- Physical Therapist
- Edmond, OK
National Provider Identifier
1548976111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5936
- Practice address
- 14201 N Santa Fe Ave Ste 110
Edmond, OK 73013-2489 - Phone
- (817) 917-4875
- NPI assigned
- Jan 26, 2023
- Last updated
- Jan 26, 2023
- 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 | 5936 | OK | Primary |
Addresses
Primary practice location
14201 N Santa Fe Ave Ste 110
Edmond, OK 73013-2489
Mailing address
1009 Driver LN
Edmond, OK 73025-1823
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
| License | State | Type | Specialty |
|---|---|---|---|
| 5936 | OK | MD | Community/Behavioral Health Agency |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1674691200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1548976111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1009 DRIVER LN",
"city": "EDMOND",
"state": "OK",
"postal_code": "730251823"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14201 N SANTA FE AVE STE 110",
"city": "EDMOND",
"state": "OK",
"postal_code": "730132489",
"telephone_number": "817-917-4875"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CARLIN",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-01-26",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "5936",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Edmond, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.