Individual provider Active NPI

Tiffany Delisa Kriz, PT, MSPT

  • Orthopedic Physical Therapist
  • Bonita Springs, FL
National Provider Identifier
1689837833
Registry record updated Jul 8, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT21144 Issued in FL
Practice address
3501 Bonita Bay Blvd
Suite #2
Bonita Springs, FL 34134-1702
Phone
(239) 992-6700
NPI assigned
Jul 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT21144 FL Primary

Addresses

Primary practice location

3501 Bonita Bay Blvd
Suite #2
Bonita Springs, FL 34134-1702

Mailing address

3501 Bonita Bay Blvd
Suite #2
Bonita Springs, FL 34134-1702
Phone (239) 992-6700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

26651 Dublin Woods Cir
Bonita Springs, FL 34135-7246

27180 Bay Landing Dr
Suite 7
Bonita Springs, FL 34135-4337

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21144FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pelican Sports & Rehabilitation of Naples PastSince Jun 24, 2015 Accepting new patients
Pelican Sports and Rehabilitation, Inc Orthopedic Past Accepting new patients
Pulsemd Bonita LLC PastSince Mar 12, 2023 Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1215475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1215475200000",
    "number": "1689837833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3501 BONITA BAY BLVD",
            "address_2": "SUITE #2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341702",
            "telephone_number": "239-992-6700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 BONITA BAY BLVD",
            "address_2": "SUITE #2",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341341702",
            "telephone_number": "239-992-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRIZ",
        "first_name": "TIFFANY",
        "middle_name": "DELISA",
        "credential": "PT, MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-08",
        "last_updated": "2008-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT21144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bonita Springs, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.