Individual provider Active NPI

Tiffany Lyn Mussman, M.P.T.

  • Pediatric Physical Therapist
  • Kansas City, MO
National Provider Identifier
1891962452
Registry record updated Oct 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
110373 Issued in MO
Practice address
10015 N Ambassador Dr Ste 104
Kansas City, MO 64153-1437
Phone
(816) 801-7878
NPI assigned
May 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 110373 MO Primary

Addresses

Primary practice location

10015 N Ambassador Dr Ste 104
Kansas City, MO 64153-1437

Mailing address

10015 N Ambassador Dr Ste 104
Kansas City, MO 64153-1437
Phone (816) 801-7878

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
110373MOMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1210636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381363200000",
    "number": "1891962452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10015 N AMBASSADOR DR STE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531437",
            "telephone_number": "816-801-7878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10015 N AMBASSADOR DR STE 104",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641531437",
            "telephone_number": "816-801-7878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUSSMAN",
        "first_name": "TIFFANY",
        "middle_name": "LYN",
        "name_prefix": "Ms.",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-13",
        "last_updated": "2013-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MO",
            "license": "110373",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kansas City, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2013; 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.