Tiffany Roark, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT61282561 Issued in WA

Practice address

34515 9TH Ave S
Federal Way, WA 98003-6761

Phone

(253) 944-7970

NPI assigned

Sep 1, 2022

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

Enrolled in WA

Enrollment records 1

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 and National Provider Directory roles.

• Sundance Circle Hippotherapy LLC

  • Physical Therapist
  • Sumner, WA
  • NPI 1588257687

  Occupational Therapist

  Medicare reassignment NPD
• Little Squirts Therapy Services LLC

  • Pediatric Physical Therapist
  • Providence, UT
  • NPI 1518654730

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1661990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661990400000",
    "number": "1801516547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2515 S MELROSE ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984052651",
            "telephone_number": "913-908-1322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34515 9TH AVE S",
            "city": "FEDERAL WAY",
            "state": "WA",
            "postal_code": "980036761",
            "telephone_number": "253-944-7970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROARK",
        "first_name": "TIFFANY",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-01",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WA",
            "license": "OT61282561",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Riley, LMP
• Jane H. Ringel, COTA/L
• Casey Marie Rivera
• Deardra Eva Rivera, M.D.
• Riverstone Healthcare
• Marilyn I Robbins, LMHC
• Robert Andrew Beaty, DDS, PLLC
• Robert L Frerichs, MD PLLC
• Robert McLaughlin MD Inc PS
• Wanda Roberton, MD

• Occupational Therapist in Federal Way, WA
• Providers in Federal Way, WA by specialty
• Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.