Active NPI
Tiffany Purcell
- Physical Therapist
- Durango, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9786
- Practice address
- 1 Mercado St
Suite 201
Durango, CO 81301-7306 - Phone
- (970) 385-0644
- Fax
- (970) 385-0620
- NPI assigned
- Sep 24, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 Therapist | 225100000X | 9786 | CO | Primary |
Addresses
Primary practice location
1 Mercado St
Suite 201
Durango, CO 81301-7306
Mailing address
1 Mercado St
Suite 201
Durango, CO 81301-7306
Phone (970) 385-0644
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 46228853 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
575 Rivergate LN
Durango, CO 81301-7487
Phone (970) 247-3537
Hospital & facility affiliations
- Animas Surgical Hospital, LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9786 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Animas Surgical Hospital, LLC | Current | Accepting new patients | |
| Durango Surgery Center LLC | Current | Accepting new patients | |
| Animas Surgical Hospital, LLC | Current | Accepting new patients |
Locations
575 Rivergate Ln
Durango, CO 81301
Phone (719) 648-5678
6330 S Western Ave
Ste 150
Sioux Falls, SD 57108
6128 S Lyncrest Ave
Sioux Falls, SD 57108
Phone (605) 334-1363
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.
-
- Emergency Medicine Physician
- Durango, CO
- NPI 1861721714
-
- Urgent Care Clinic/Center
- Durango, CO
- NPI 1194161422
-
- Ambulatory Surgical Clinic/Center
- Durango, CO
- NPI 1548870603
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durango, CO
- NPI 1508842964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190592000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1333324800000",
"number": "1720274608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"address_2": "SUITE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017306",
"telephone_number": "970-385-0644"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 MERCADO ST",
"address_2": "SUITE 201",
"city": "DURANGO",
"state": "CO",
"postal_code": "813017306",
"telephone_number": "970-385-0644",
"fax_number": "970-385-0620"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PURCELL",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-24",
"last_updated": "2012-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "9786",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "46228853",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durango, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2012; 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.