Individual provider Active NPI

Tiffany Hinesley Patterson, DPT

  • Physical Therapist
  • Burlington, NC
National Provider Identifier
1740648518
Registry record updated Feb 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P16110 Issued in NC
Practice address
1225 Huffman Mill Rd
Suite 201
Burlington, NC 27215-8788
Phone
(336) 584-7689
Fax
(336) 584-8063
NPI assigned
Feb 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2016

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 P16110 NC Primary

Addresses

Primary practice location

1225 Huffman Mill Rd
Suite 201
Burlington, NC 27215-8788

Mailing address

906 Mebane Oaks Rd
Mebane, NC 27302-7951
Phone (919) 563-1825

Other identifiers 1

IdentifierTypeStateIssuer
G76041MedicaidNC

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454889600000",
    "number": "1740648518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "906 MEBANE OAKS RD",
            "city": "MEBANE",
            "state": "NC",
            "postal_code": "273027951",
            "telephone_number": "919-563-1825",
            "fax_number": "919-563-1833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 HUFFMAN MILL RD",
            "address_2": "SUITE 201",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272158788",
            "telephone_number": "336-584-7689",
            "fax_number": "336-584-8063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATTERSON",
        "first_name": "TIFFANY",
        "middle_name": "HINESLEY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-08",
        "last_updated": "2016-02-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P16110",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G76041",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2016; 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.