Tiffany Clinard Larson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9020 Issued in NC

Practice address

600 Fullwood Rd
Matthews, NC 28105-2659

Phone

(704) 841-4920

NPI assigned

Nov 9, 2009

Last updated

Jul 16, 2014By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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": "1257724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405468800000",
    "number": "1699002881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10443 PROVIDENCE ARBOURS DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282701200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FULLWOOD RD",
            "city": "MATTHEWS",
            "state": "NC",
            "postal_code": "281052659",
            "telephone_number": "704-841-4920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LARSON",
        "first_name": "TIFFANY",
        "middle_name": "CLINARD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-11-09",
        "last_updated": "2014-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "9020",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "6025",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Lajeunesse
• Suzanne Lake, CCC-SLP
• Jenna Lane
• Michaela Lane, SLP
• Rebecca Susan Lane
• Taylor Anne Lavender, PA-C
• Kimberly Laws, PHARMD
• Gretchen Elaine Lawson, MSN, APRN, AGNP-C
• Melissa Layman
• Jillian Lazarich

• Physical Therapist in Matthews, NC
• Providers in Matthews, NC by specialty
• Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.