Tiffany M McCorison, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

103414 Issued in MN

Practice address

810 E 23Rd St
Sioux Falls, SD 57105-2135

Phone

(605) 331-5890

NPI assigned

Feb 1, 2007

Last updated

Sep 24, 2009By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AK

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2003

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Revolution Sport and Spine Therapy LLCGroup PAC ID 6507146412, 19 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Revolution Sport & Spine Therapy LLC

  • Orthopedic Physical Therapist
  • Soldotna, AK
  • NPI 1598215170
  Medicare reassignment Care Compare group NPD
• Borealis Chiropractic Inc

  • Chiropractor
  • Soldotna, AK
  • NPI 1558800607
  NPD
• Orthopedic Institute PC

  • Multi-Specialty Clinic/Center
  • Tea, SD
  • NPI 1245263326
  NPD (past)

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253750400000",
    "number": "1578600904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "810 E 23RD ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052135",
            "telephone_number": "605-331-5890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 E 23RD ST",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571052135",
            "telephone_number": "605-331-5890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCORISON",
        "first_name": "TIFFANY",
        "middle_name": "M",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2009-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MN",
            "license": "103414",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5836680",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheriece McCnary Samplesrbt, RBT
• Larissa Dawn McCollister, M.S. OTR/L
• Michael A. McConnell, MD
• McCook Central School 43-7
• Laura McCord, LPC
• Danielle McCormick
• Kimberly McCoy, RN
• Randall Allen McCoy, PHARMD
• Robert George McCoy, DC
• Rachel Anne McCracken, MB. CHB.

• Occupational Therapist in Sioux Falls, SD
• Providers in Sioux Falls, SD by specialty
• Occupational Therapist in South Dakota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.