Individual provider Active NPI

Tiffany Fogarty

  • Physical Therapy Assistant
  • West Reading, PA
National Provider Identifier
1780015602
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
TE009137 Issued in PA
Practice address
425 Buttonwood St
West Reading, PA 19611-1101
Phone
(610) 373-5166
NPI assigned
Dec 3, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X TEI003970 PA
Physical Therapy Assistant 225200000X TE009137 PA Primary

Addresses

Primary practice location

425 Buttonwood St
West Reading, PA 19611-1101

Mailing address

258 N Route 183
Pottsville, PA 17901-8806
Phone (570) 436-0301

Other practice location 1

401 Hazle Township Blvd
403 Hazle Township Blvd
Hazle Township, PA 18202-9661
Phone (570) 454-8888 ext. 184

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

LicenseStateTypeSpecialty
TE009137PAMDPhysical Therapy Assistant
TEI003970PAMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1386028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1780015602",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 N ROUTE 183",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179018806",
            "telephone_number": "570-436-0301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 BUTTONWOOD ST",
            "city": "WEST READING",
            "state": "PA",
            "postal_code": "196111101",
            "telephone_number": "610-373-5166"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Hazle Township Blvd",
            "address_2": "403 Hazle Township Blvd",
            "address_purpose": "LOCATION",
            "city": "Hazle Township",
            "state": "PA",
            "postal_code": "182029661",
            "country_code": "US",
            "telephone_number": "570-454-8888 x184",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FOGARTY",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-03",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TEI003970",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "PA",
            "license": "TE009137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Reading, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2025; 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.