Tiffany Lewallen

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

15476B Dedeaux Rd
Gulfport, MS 39503-2637

Phone

(228) 539-3232

NPI assigned

Aug 25, 2016

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 MS, AL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

University of Mississippi School of Medicine, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bienville Therapy, LLCGroup PAC ID 1254878325, 24 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Bienville Therapy, LLC

  • Physical Therapist
  • Vancleave, MS
  • NPI 1720844392
  Medicare reassignment Care Compare group NPD
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Vancleave, MS
  • NPI 1689605834
  Medicare reassignment NPD
• A.C.T. Physical Therapy. LLC

  • Physical Therapist
  • Hoover, AL
  • NPI 1326133463
  Medicare reassignment NPD
• Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1033218524

  MS, Physical Therapist

  Medicare reassignment NPD
• Bienville Therapy, LLC

  • Physical Therapist
  • Gulfport, MS
  • NPI 1477319051
  NPD
• Encore Rehabilitation, Inc.

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD
• Bienville Orthopaedic Specialists, LLC

  • Orthopaedic Surgery Physician
  • Grand Bay, AL
  • NPI 1659269454
  NPD

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

{
    "created_epoch": "1472083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1861947376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE",
            "address_2": "SUITE 300",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15476B DEDEAUX RD",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395032637",
            "telephone_number": "228-539-3232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEWALLEN",
        "first_name": "TIFFANY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-25",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric Jude Letonoff, DO
• Lets Play Pediatric Therapy LLC
• Joanne Alison Levanway, RDN LD
• Amanda Levens
• Philip Lincoln Levin, M.D.
• Alan Lewis, MD
• Jazmine Lewis
• Michael Ray Lewis, M.D.
• Nicole Lewis
• Jay J Libys, MD

• Physical Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.