Active NPI
Tiffany Claire Villarta Lumayog
- Occupational Therapy Assistant
- Towson, MD
National Provider Identifier
1760107718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- A02677
- Practice address
- 509 E Joppa Rd
Towson, MD 21286-5404 - Phone
- (410) 828-9494
- NPI assigned
- Oct 11, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gerontology Occupational Therapist | 225XG0600X | A02677 | MD | |
| Occupational Therapy Assistant | 224Z00000X | A02677 | MD | Primary |
Addresses
Primary practice location
509 E Joppa Rd
Towson, MD 21286-5404
Mailing address
509 E Joppa Rd
Towson, MD 21286-5404
Phone (410) 828-9494
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1559696656 | Other | MD | MANAGED-CARE |
| 1559696656 | Medicaid | MD |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tiffanyclaire.lumayog@promedica.org | Health Information Exchange (HIE) | HCR Manorcare Towson |
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 |
|---|---|---|---|
| A02677 | MD | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1665446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665446400000",
"number": "1760107718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 E JOPPA RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865404",
"telephone_number": "410-828-9494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "509 E JOPPA RD",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865404",
"telephone_number": "410-828-9494"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUMAYOG",
"first_name": "TIFFANY CLAIRE",
"middle_name": "VILLARTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-10-11",
"last_updated": "2022-10-11",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "225XG0600X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Gerontology",
"state": "MD",
"license": "A02677",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "MD",
"license": "A02677",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED-CARE",
"identifier": "1559696656",
"state": "MD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1559696656",
"state": "MD"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tiffanyclaire.lumayog@promedica.org",
"affiliation": "Y",
"affiliationName": "HCR Manorcare Towson",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "509 E Joppa Rd",
"city": "Towson",
"state": "MD",
"country_code": "US",
"postal_code": "212865404",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Towson, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.