Individual provider Active NPI

Siobhan Mary Tijerina, DPT

  • Physical Therapist
  • Greenwood, IN
National Provider Identifier
1841743879
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05012146A Issued in IN
Practice address
1701 Library Blvd Ste a
Greenwood, IN 46142-1567
Phone
(317) 881-9923
NPI assigned
Jul 26, 2016
Last updated
Mar 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 99073428A IN
Physical Therapist 225100000X 05012146A IN Primary

Addresses

Primary practice location

1701 Library Blvd Ste a
Greenwood, IN 46142-1567

Mailing address

5057 Arling Court
Indianapolis, IN 46237
Phone (317) 414-4297

Other practice location 1

2625 Foxpointe Drive
Suite A
Columbus, IN 47203
Phone (812) 314-2378

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
05012146AINMDPhysical Therapist
99073428AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Collaborating for Kids, LLC PastSince Feb 19, 2016 Accepting new patients
A Step Ahead Pediatrics Therapy, Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1841743879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5057 ARLING COURT",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "46237",
            "telephone_number": "317-414-4297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 LIBRARY BLVD STE A",
            "city": "GREENWOOD",
            "state": "IN",
            "postal_code": "461421567",
            "telephone_number": "317-881-9923"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2625 Foxpointe Drive",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "IN",
            "postal_code": "47203",
            "country_code": "US",
            "telephone_number": "812-314-2378",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIJERINA",
        "first_name": "SIOBHAN",
        "middle_name": "MARY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99073428A",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05012146A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2019; 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.