Tiffany Amber Stewart, CTRS, CDP

Primary specialty

Recreation TherapistTaxonomy code 225800000X

License

81743 Issued in SC

Practice address

10914 Troxel Dr S Apt 205
Noblesville, IN 46060-5830

Phone

(864) 270-6903

NPI assigned

Jun 3, 2024

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)

Not enrolled

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

{
    "created_epoch": "1717372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1811738099",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10914 TROXEL DR S APT 205",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605830",
            "telephone_number": "864-270-6903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10914 TROXEL DR S APT 205",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460605830",
            "telephone_number": "864-270-6903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 Airport North Office Park Ste D",
            "address_purpose": "LOCATION",
            "city": "Fort Wayne",
            "state": "IN",
            "postal_code": "468256723",
            "country_code": "US",
            "telephone_number": "864-270-6903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STEWART",
        "first_name": "TIFFANY",
        "middle_name": "AMBER",
        "credential": "CTRS, CDP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-06-03",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225800000X",
            "taxonomy_group": "",
            "desc": "Recreation Therapist",
            "state": "SC",
            "license": "81743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Recreation Therapist in Noblesville, IN
• Providers in Noblesville, IN by specialty
• Recreation Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.