Individual provider Active NPI

Tiffany Wolf, PT, DPT, CLT, CERT.

  • Physical Therapist
  • Arvada, CO
National Provider Identifier
1720172612
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9856 Issued in CO
Practice address
5790 Yukon St
Arvada, CO 80002-2448
Phone
(303) 223-7451
Fax
(720) 863-2149
NPI assigned
Oct 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9856 CO Primary

Addresses

Primary practice location

5790 Yukon St
Arvada, CO 80002-2448

Mailing address

5790 Yukon St
Arvada, CO 80002-2448
Phone (303) 223-7451

Other identifiers 2

IdentifierTypeStateIssuer
100510114MedicaidNV
1720172612OtherNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150618002453 CO Practitioner - Physical Therapist in Private Practice 5597764738 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Threshold Physical Therapy and Performance PLLCGroup PAC ID 0042551566, 3 clinicians

Practice addresses (Care Compare)

5790 Yukon St
Arvada, CO 80002-2457
Phone (719) 252-5954

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9856COMDGeneral Practice Dentistry
2054NVMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Threshold Physical Therapy and Performance, PLLC Physical Therapist CurrentSince Oct 24, 2025 Accepting new patients
Threshold Physical Therapy and Performance, PLLC Physical Therapist CurrentSince Dec 14, 2025 Accepting new patients
Registered Physical Therapists LLC Past Accepting new patients

Locations

5790 Yukon St
Arvada, CO 80002
Phone (303) 223-7451

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": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749600000000",
    "number": "1720172612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5790 YUKON ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022448",
            "telephone_number": "303-223-7451",
            "fax_number": "720-863-2149"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5790 YUKON ST",
            "city": "ARVADA",
            "state": "CO",
            "postal_code": "800022448",
            "telephone_number": "303-223-7451",
            "fax_number": "720-863-2149"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOLF",
        "first_name": "TIFFANY",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CLT, CERT.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-03",
        "last_updated": "2025-06-11",
        "certification_date": "2025-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "9856",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100510114",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1720172612",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arvada, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.