Active NPI
Tiffany Tyree Sumter, LPTA
- Physical Therapy Assistant
- Norfolk, VA
National Provider Identifier
1700044385
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2306602352
- Practice address
- 827 Norview Ave
Norfolk, VA 23509-1540 - Phone
- (757) 853-6281
- NPI assigned
- May 30, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2306602352 | VA | Primary |
Addresses
Primary practice location
827 Norview Ave
Norfolk, VA 23509-1540
Mailing address
3405 Verdun Ave
Norfolk, VA 23509-2635
Phone (757) 321-0341
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2306602352 | VA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212105600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212105600000",
"number": "1700044385",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3405 VERDUN AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235092635",
"telephone_number": "757-321-0341"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "827 NORVIEW AVE",
"city": "NORFOLK",
"state": "VA",
"postal_code": "235091540",
"telephone_number": "757-853-6281"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SUMTER",
"first_name": "TIFFANY",
"middle_name": "TYREE",
"name_prefix": "Ms.",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-30",
"last_updated": "2008-05-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "VA",
"license": "2306602352",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norfolk, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.