Tiffany Polson, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT-1864 Issued in WY

Practice address

3905 E Grand Ave Ste 200
Laramie, WY 82070-5189

Phone

(307) 742-2082

NPI assigned

Jul 1, 2019

Last updated

Jul 1, 2019By 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

Medicare fee-for-service enrollment

Enrolled in WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Spine and Injury Clinic of Laramie PCGroup PAC ID 0941387997, 9 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.

• Spine & Injury Clinic of Laramie, PC

  • Chiropractor
  • Laramie, WY
  • NPI 1902097637

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1561939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561939200000",
    "number": "1619539624",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3905 E GRAND AVE STE 200",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3905 E GRAND AVE STE 200",
            "city": "LARAMIE",
            "state": "WY",
            "postal_code": "820705189",
            "telephone_number": "307-742-2082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLSON",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-01",
        "last_updated": "2019-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-1864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rebekah Plourde
• Courtney Poinsett
• Pole Mountain Pharmacy LLC (Pole Mountain Pharmacy)
• Pole Mountain Pharmacy LLC (Pole Mountain Pharmacy LTC)
• Theresa J Poll, MS NCC LPC CAJSM
• Lauren E Ponwith
• Gabrielle Pool, PCSW
• Elsa Pope, OTR/L
• Donald A Porter, PHARMACIST
• Gary M Poteet, O.D.

• Physical Therapist in Laramie, WY
• Providers in Laramie, WY by specialty
• Physical Therapist in Wyoming

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