Tiffany Bottar, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0254631 Issued in NY

Practice address

240 West Seneca Street
Suite 8
Manlius, NY 13104

Phone

(315) 682-0325

Fax

(315) 682-0295

NPI assigned

Feb 3, 2006

Last updated

Jul 15, 2011By 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

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.

• Cook Physical Therapy PC

  • Physical Therapist
  • Fayetteville, NY
  • NPI 1821086539
  NPD (past)

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

{
    "created_epoch": "1138924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1790757730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4305 WEST SENECA ST",
            "address_2": "SUITE 8",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "131046638",
            "telephone_number": "315-682-0325",
            "fax_number": "315-682-0295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 WEST SENECA STREET",
            "address_2": "SUITE 8",
            "city": "MANLIUS",
            "state": "NY",
            "postal_code": "13104",
            "telephone_number": "315-682-0325",
            "fax_number": "315-682-0295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOTTAR",
        "first_name": "TIFFANY",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-03",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0254631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ann S Bilharz, MSED
• Earl Robert Black, RPH
• Boles Physical Therapy PLLC
• Youssef Boles
• Jacqueline Booher, MS CCC-SLP
• Mark Isidore Boule, D.D.S.
• Joella Bova-Larham, AU.D
• Brian Y Changlai MD PC
• Brian Y Changlai MD PC
• Taylor Alissa Brown

• Physical Therapist in Manlius, NY
• Providers in Manlius, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.