Active NPI
Jung Hee Tiffany, RPT
- Physical Therapist
- Joplin, MO
National Provider Identifier
1851496541
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- MORO723
- Practice address
- 2810 S Jackson Ave
Joplin, MO 64804-2524 - Phone
- (417) 624-2061
- Fax
- (417) 624-2156
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | MORO723 | MO | Primary |
Addresses
Primary practice location
2810 S Jackson Ave
Joplin, MO 64804-2524
Mailing address
5094 S Burrows Ave
Springfield, MO 65810-2054
Phone (417) 886-8612
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
| License | State | Type | Specialty |
|---|---|---|---|
| MORO723 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851496541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5094 S BURROWS AVE",
"city": "SPRINGFIELD",
"state": "MO",
"postal_code": "658102054",
"telephone_number": "417-886-8612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2810 S JACKSON AVE",
"city": "JOPLIN",
"state": "MO",
"postal_code": "648042524",
"telephone_number": "417-624-2061",
"fax_number": "417-624-2156"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TIFFANY",
"first_name": "JUNG",
"middle_name": "HEE",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "MORO723",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Joplin, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.