Tiffany Lynn Williams, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-013750 Issued in AZ

Practice address

9364 E Raintree Dr Ste 103
Scottsdale, AZ 85260-2200

Phone

(480) 661-1124

Fax

(480) 661-1125

NPI assigned

May 17, 2018

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1526515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526515200000",
    "number": "1649760372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7340 E LEGACY BLVD UNIT G4004",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852556527",
            "telephone_number": "480-993-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9364 E RAINTREE DR STE 103",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852602200",
            "telephone_number": "480-661-1124",
            "fax_number": "480-661-1125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "TIFFANY",
        "middle_name": "LYNN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-05-17",
        "last_updated": "2018-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-013750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mercedes Helen Williams, ND
• Michael James Williams, BCBA
• Patrick Ashley Williams, PT, DPT
• Ryan Wallingford Williams, PMHNP-BC
• Samantha Williams, RN
• Shern Jacqueline Willie, M.D.
• Diana Lynn Willis
• Jessica Willis, CNIM
• Melissa Willis
• Priest Willis II

• Physical Therapy Assistant in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.