Individual provider Active NPI

Tiffany Dierolf, P.T.A

  • Physical Therapy Assistant
  • Denton, TX
National Provider Identifier
1568602811
Registry record updated Feb 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2035301 Issued in TX
Practice address
316B Dallas Dr
Denton, TX 76205-7239
Phone
(214) 394-1186
NPI assigned
Feb 26, 2009
Last updated
Feb 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2035301 TX Primary

Addresses

Primary practice location

316B Dallas Dr
Denton, TX 76205-7239

Mailing address

117 Cielo LN Ste 380
Denton, TX 76208-5157
Phone (214) 394-1186

Other practice location 1

401 N Valley Pkwy
Suite 380
Lewisville, TX 75067-3438
Phone (972) 353-5437

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
2035301TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1235606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548979200000",
    "number": "1568602811",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 CIELO LN STE 380",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762085157",
            "telephone_number": "214-394-1186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "316B DALLAS DR",
            "city": "DENTON",
            "state": "TX",
            "postal_code": "762057239",
            "telephone_number": "214-394-1186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 N Valley Pkwy",
            "address_2": "Suite 380",
            "address_purpose": "LOCATION",
            "city": "Lewisville",
            "state": "TX",
            "postal_code": "750673438",
            "country_code": "US",
            "telephone_number": "972-353-5437",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DIEROLF",
        "first_name": "TIFFANY",
        "credential": "P.T.A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-26",
        "last_updated": "2019-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2035301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denton, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2019; 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.