Individual provider Active NPI

Tiffany Ryan, OTR

  • Occupational Therapist
  • Irving, TX
National Provider Identifier
1891003133
Registry record updated May 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
TX106904 Issued in TX
Practice address
3501 N Macarthur Blvd
Ste 650
Irving, TX 75062-3651
Phone
(214) 260-3197
Fax
(214) 260-8602
NPI assigned
Sep 21, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X TX106904 TX Primary

Addresses

Primary practice location

3501 N Macarthur Blvd
Ste 650
Irving, TX 75062-3651

Mailing address

3406 Lynnwood CT
Arlington, TX 76013-1113
Phone (817) 437-8526

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
TX106904TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Arm Dynamics of Texas LLC Occupational Therapist Past Accepting new patients
Advanced Arm Dynamics of Texas, LLC 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1285027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559174400000",
    "number": "1891003133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3406 LYNNWOOD CT",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760131113",
            "telephone_number": "817-437-8526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD",
            "address_2": "STE 650",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623651",
            "telephone_number": "214-260-3197",
            "fax_number": "214-260-8602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "TIFFANY",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-09-21",
        "last_updated": "2019-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "TX106904",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irving, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.