Active NPI
Tierney Marie Loveland-Grace, DPT
- Physical Therapist
- Fountain Valley, CA
National Provider Identifier
1598158362
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39102
- Practice address
- 10262 La Hacienda Ave
Apt C-12
Fountain Valley, CA 92708-3630 - Phone
- (414) 687-1719
- NPI assigned
- Mar 18, 2015
- 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 | 39102 | CA | Primary |
Addresses
Primary practice location
10262 La Hacienda Ave
Apt C-12
Fountain Valley, CA 92708-3630
Mailing address
10262 La Hacienda Ave
Apt C-12
Fountain Valley, CA 92708-3630
Phone (414) 687-1719
Other names 1
- Tierney Loveland
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1426636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426636800000",
"number": "1598158362",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10262 LA HACIENDA AVE",
"address_2": "APT C-12",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083630",
"telephone_number": "414-687-1719"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10262 LA HACIENDA AVE",
"address_2": "APT C-12",
"city": "FOUNTAIN VALLEY",
"state": "CA",
"postal_code": "927083630",
"telephone_number": "414-687-1719"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVELAND-GRACE",
"first_name": "TIERNEY",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-03-18",
"last_updated": "2015-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39102",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "TIERNEY",
"last_name": "LOVELAND",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Fountain Valley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.