Tiffany Rose Jandrew, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

047532 Issued in NY

Practice address

100 Loder St Ste 105
Hornell, NY 14843-1957

Phone

(607) 324-9344

Fax

(607) 324-9345

NPI assigned

Sep 2, 2021

Last updated

Sep 2, 2021By the provider in NPPES

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Maple City Physical Therapy PLLCGroup PAC ID 4789800467, 7 clinicians

Chemung-Schuyler Counties Chapter, Nysarc, IncGroup PAC ID 3577980622, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Chemung-Schuyler Counties Chapter, Nysarc, Inc.

  dba Arc of Chemung-Schuyler

  • Developmental Disabilities Clinic/Center
  • Elmira, NY
  • NPI 1174146401
  Medicare reassignment Care Compare group NPD
• Maple City Physical Therapy, PLLC

  • Physical Therapy Clinic/Center
  • Hornell, NY
  • NPI 1821411802

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1630540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630540800000",
    "number": "1912675158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 LODER ST STE 105",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431957",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 LODER ST STE 105",
            "city": "HORNELL",
            "state": "NY",
            "postal_code": "148431957",
            "telephone_number": "607-324-9344",
            "fax_number": "607-324-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANDREW",
        "first_name": "TIFFANY",
        "middle_name": "ROSE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-02",
        "last_updated": "2021-09-02",
        "certification_date": "2021-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "047532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NYS LICENSE",
            "identifier": "047532",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joy Juhee Hur, DO
• Wendy S Ingold, LPN
• Keith Isaman
• MD Khadimul Islam
• Jeffrey Michael Jacobson, M.D.
• John S Weyand DC PC
• Alison Johnson
• Kasey Colleen Johnson, MS
• Mackenzie Johnson, PT, DPT
• Carley Ann-Marie Johnston, DPT

• Physical Therapist in Hornell, NY
• Providers in Hornell, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2021; 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.