Active NPI
Tiffany Green
- Occupational Therapy Assistant
- Sherman, TX
National Provider Identifier
1912423492
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 213314
- Practice address
- 8001 S US Highway 75
Sherman, TX 75090-5707 - Phone
- (903) 532-1400
- Fax
- (903) 532-6575
- NPI assigned
- Aug 16, 2017
- 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 |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 213314 | TX | Primary |
Addresses
Primary practice location
8001 S US Highway 75
Sherman, TX 75090-5707
Mailing address
5465 Braesvalley Dr Apt 530
Houston, TX 77096-3124
Phone (225) 620-5815
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 |
|---|---|---|---|
| 213314 | TX | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aoc FL, LLC | Past | Accepting new patients | |
| Aoc TX, 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Angels of Care Pediatric Home Health
- Home Health Agency
- Spring Hill, FL
- NPI 1538704671
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502841600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1502841600000",
"number": "1912423492",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5465 BRAESVALLEY DR APT 530",
"city": "HOUSTON",
"state": "TX",
"postal_code": "770963124",
"telephone_number": "225-620-5815"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 S US HIGHWAY 75",
"city": "SHERMAN",
"state": "TX",
"postal_code": "750905707",
"telephone_number": "903-532-1400",
"fax_number": "903-532-6575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GREEN",
"first_name": "TIFFANY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-08-16",
"last_updated": "2017-08-16",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "TX",
"license": "213314",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sherman, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.