Individual provider Active NPI

Tiffany Ann Tomsha, COTA/L

  • Occupational Therapy Assistant
  • Trenton, MI
National Provider Identifier
1568081347
Registry record updated Apr 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
5202008617 Issued in MI
Practice address
1660 Fort St
Trenton, MI 48183-2003
Phone
(734) 304-4159
NPI assigned
Apr 13, 2020
Last updated
Apr 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5202008617 MI Primary

Addresses

Primary practice location

1660 Fort St
Trenton, MI 48183-2003

Mailing address

27085 Gratiot Ave Ste 101
Roseville, MI 48066-2984
Phone (586) 204-5560

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
5202008617MIMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Psygenics Inc Occupational Therapy Assistant CurrentSince Apr 19, 2020 Accepting new patients

Locations

27085 Gratiot Ave
Ste 101
Roseville, MI 48066
Phone (586) 204-5560

1660 Fort St
Trenton, MI 48183
Phone (734) 304-4159

Organizations & group practices 1

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": "1586736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1586736000000",
    "number": "1568081347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27085 GRATIOT AVE STE 101",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480662984",
            "telephone_number": "586-204-5560",
            "fax_number": "586-204-5635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1660 FORT ST",
            "city": "TRENTON",
            "state": "MI",
            "postal_code": "481832003",
            "telephone_number": "734-304-4159"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOMSHA",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-04-13",
        "last_updated": "2020-04-13",
        "certification_date": "2020-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MI",
            "license": "5202008617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trenton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2020; 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.