Individual provider Active NPI

Tiffany Celeste McCain, PT

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1649445743
Registry record updated Sep 17, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
34281 Issued in CA
Practice address
221 W Fir Ave
Suite 105
Clovis, CA 93611-0221
Phone
(559) 325-3444
Fax
(559) 325-7444
NPI assigned
Apr 29, 2008
Last updated
Sep 17, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 34281 CA Primary

Addresses

Primary practice location

221 W Fir Ave
Suite 105
Clovis, CA 93611-0221

Mailing address

221 W Fir Ave
Suite 105
Clovis, CA 93611-0221
Phone (559) 325-3444

Other names 1

  • Tiffany Celeste Enns Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100108000371 CA Practitioner - Physical Therapist in Private Practice 2860544517 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
McCain Physical Therapy IncGroup PAC ID 2466808936, 6 clinicians

Practice addresses (Care Compare)

4070 W St
Cambria, CA 93428-3023
Phone (805) 927-1055

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34281CAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cambria Community Rehabilitation, Inc. Physical Therapist CurrentSince Aug 15, 2023 Accepting new patients
McCain Physical Therapy Inc. Physical Therapist CurrentSince Sep 27, 2023 Accepting new patients
Gigi Inc Physical Therapist PastSince Jul 3, 2018 Accepting new patients

Locations

4070 West St
Cambria, CA 93428
Phone (805) 440-3225

900 Main St
Cambria, CA 93428
Phone (805) 924-1605

3421 Empresa Dr
Ste D
Sn Luis Obisp, CA 93401
Phone (805) 440-1955

Organizations & group practices 4

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": "1209427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1379376000000",
    "number": "1649445743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE",
            "address_2": "SUITE 105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110221",
            "telephone_number": "559-325-3444",
            "fax_number": "559-325-7444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 W FIR AVE",
            "address_2": "SUITE 105",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936110221",
            "telephone_number": "559-325-3444",
            "fax_number": "559-325-7444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCAIN",
        "first_name": "TIFFANY",
        "middle_name": "CELESTE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-04-29",
        "last_updated": "2013-09-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "34281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "ENNS",
            "middle_name": "CELESTE",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2013; 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.