Active NPI
Tiffany N Pitre, DPT, PT
- Physical Therapist
- Jbsa Fort Sam Houston, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT34121
- Practice address
- 3551 Roger Brooke Drive
Attn: McHe-ZQQ
Jbsa Fort Sam Houston, TX 78234-4504 - Phone
- (210) 916-9817
- NPI assigned
- Mar 12, 2007
- Last updated
- Apr 16, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT34121 | FL | Primary |
| Physical Therapy Assistant | 225200000X | 8379 | CA |
Addresses
Primary practice location
3551 Roger Brooke Drive
Attn: McHe-ZQQ
Jbsa Fort Sam Houston, TX 78234-4504
Mailing address
1809 Holden Ridge LN
Minneola, FL 34715-8807
Phone (210) 535-0096
Other practice location 1
5563 E SR 44 Ste 6
Wildwood, FL 34785-8216
Phone (352) 571-4148
Other practice location 2
606 S 9th St
Leesburg, FL 34748-6320
Phone (407) 484-3277
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, FL
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
4557 S Western St
Suite B4
Amarillo, TX 79109-8044
Phone (833) 233-7875
5252 S Tamiami TRL
Suite 16
Sarasota, FL 34231-4233
Phone (833) 233-7875
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8379 | CA | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| La Plus Family Investment | Physical Therapist | Current | Accepting new patients |
Locations
5563 E State Road 44
Ste 6
Wildwood, FL 34785
Phone (352) 571-4148
Organizations & group practices 2
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": "1173657600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1713225600000",
"number": "1588796650",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1809 HOLDEN RIDGE LN",
"city": "MINNEOLA",
"state": "FL",
"postal_code": "347158807",
"telephone_number": "210-535-0096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3551 ROGER BROOKE DRIVE",
"address_2": "ATTN: MCHE-ZQQ",
"city": "JBSA FORT SAM HOUSTON",
"state": "TX",
"postal_code": "782344504",
"telephone_number": "210-916-9817"
}
],
"practiceLocations": [
{
"address_1": "5563 E SR 44 Ste 6",
"address_purpose": "LOCATION",
"city": "Wildwood",
"state": "FL",
"postal_code": "347858216",
"country_code": "US",
"telephone_number": "352-571-4148",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "606 S 9th St",
"address_purpose": "LOCATION",
"city": "Leesburg",
"state": "FL",
"postal_code": "347486320",
"country_code": "US",
"telephone_number": "407-484-3277",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PITRE",
"first_name": "TIFFANY",
"middle_name": "N",
"name_prefix": "Mrs.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-12",
"last_updated": "2024-04-16",
"certification_date": "2024-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT34121",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "8379",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jbsa Fort Sam Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2024; 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.