Individual provider Active NPI

Tiffany Ellen Hodges, DPT, OMPT

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1659703999
Registry record updated May 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11405 Issued in AZ
Practice address
1777 W Saint Marys Rd
#206
Tucson, AZ 85745-2687
Phone
(520) 884-9819
Fax
(520) 884-0175
NPI assigned
Aug 8, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 11, 2015

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 11405 AZ Primary

Addresses

Primary practice location

1777 W Saint Marys Rd
#206
Tucson, AZ 85745-2687

Mailing address

8987 E Tanque Verde Rd # 104
Tucson, AZ 85749-9610
Phone (520) 884-9819

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1375920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431302400000",
    "number": "1659703999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8987 E TANQUE VERDE RD # 104",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857499610",
            "telephone_number": "520-884-9819",
            "fax_number": "520-884-0175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 W SAINT MARYS RD",
            "address_2": "#206",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857452687",
            "telephone_number": "520-884-9819",
            "fax_number": "520-884-0175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HODGES",
        "first_name": "TIFFANY",
        "middle_name": "ELLEN",
        "name_prefix": "Ms.",
        "credential": "DPT, OMPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-08-08",
        "last_updated": "2015-05-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.

Verify at the official NPI Registry.