Elias German Tijerina, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

49535 Issued in CA

Practice address

1360 E Spruce Ave
103
Fresno, CA 93720-3378

Phone

(559) 433-4700

Fax

(559) 234-1440

NPI assigned

Sep 4, 2018

Last updated

Sep 4, 2018By the provider in NPPES

Sex

Male

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dynamic Kids, Inc.

  dba Dynamic Kids Pediatric Physical Therapy

  • Physical Therapy Clinic/Center
  • Clovis, CA
  • NPI 1124239363
  NPD (past)

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

{
    "created_epoch": "1536019200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536019200000",
    "number": "1699257816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 E SPRUCE AVE STE 103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1360 E SPRUCE AVE",
            "address_2": "103",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937203378",
            "telephone_number": "559-433-4700",
            "fax_number": "559-234-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "ELIAS",
        "middle_name": "GERMAN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-04",
        "last_updated": "2018-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "49535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hoang D Tieu, M.D.
• Tiffany Vu DMD PC
• Karen A Tiftick, PT
• Melissa Tihin, LMFT
• Aimee Jayne Tijerina, PT
• Colleen Kathryn Tillery
• Madison Denise Tillery
• Felicia R Tillman
• James Tillman
• Kathy Ann Tillmon

• Physical Therapy Assistant in Fresno, CA
• Providers in Fresno, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 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.