Tiffany C Shipp, PT, DSCPT, OCS, COMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT.012821 Issued in OH

Practice address

720 Cross Pointe Rd
Gahanna, OH 43230-6685

Phone

(614) 626-9644

NPI assigned

Jul 25, 2012

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

Practice roles

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.

• Andersonville Physical Therapy, SC

  • Physical Therapist
  • Chicago, IL
  • NPI 1043368731
  NPD (past)

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

{
    "created_epoch": "1343174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1689920829",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 STONEGATE CIR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432307034",
            "telephone_number": "614-570-1869",
            "fax_number": "773-907-3510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 CROSS POINTE RD",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432306685",
            "telephone_number": "614-626-9644"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5414 N Broadway St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606401704",
            "country_code": "US",
            "telephone_number": "773-907-3599",
            "fax_number": "773-907-3510",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHIPP",
        "first_name": "TIFFANY",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "PT, DSCPT, OCS, COMT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-25",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "PT.012821",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Sheldon, PA-C
• Alyssa Caitlin Shepherd, CNP
• Yakov Sherk, MD
• Debra Lynn Sherman, LPCC, CCDC I
• Shine Home Healthcare LLC.
• Lana Shishlo, CNP
• Joy R Shoemaker, CNP
• Signature Health Services, LLC
• Tonda Nicole Teach Silverio, APRNCNP
• Julian Simmons

• Physical Therapist in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Physical Therapist in Ohio

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