Tiffany Nicola Linville, MPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

PT37977 Issued in CA

Practice address

3018 E Colorado Blvd Ste 100
Pasadena, CA 91107-3840

Phone

(616) 449-3900

Fax

(626) 449-4505

NPI assigned

Jul 26, 2011

Last updated

Nov 29, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Blake Physical Therapy, PC

  • Orthopedic Physical Therapist
  • Santa Monica, CA
  • NPI 1750350476
  NPD (past)

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

{
    "created_epoch": "1311638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543449600000",
    "number": "1790063691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2459 FEDERAL AVE",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900642915",
            "telephone_number": "310-994-2376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3018 E COLORADO BLVD STE 100",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911073840",
            "telephone_number": "616-449-3900",
            "fax_number": "626-449-4505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LINVILLE",
        "first_name": "TIFFANY",
        "middle_name": "NICOLA",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-26",
        "last_updated": "2018-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "PT37977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF CALIFORNIA",
            "identifier": "PT37977",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emliy Marie Lindsay
• Kelsey Jillonne Lindsay
• Robert Lindsay
• Daniel Linscott, PSYD
• Michael S. Linsey, M.D.
• Lionel P NG MD Inc
• Olivia Liong
• Janell Lipkin
• Lorena Liquen
• Lisa Chang Medical Corporation

• Orthopedic Physical Therapist in Pasadena, CA
• Providers in Pasadena, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2018; 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.