Individual provider Active NPI

Tiffany Truxaw, PTA

  • Physical Therapy Assistant
  • Beeville, TX
National Provider Identifier
1922464841
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2097010 Issued in TX
Practice address
1406 E Houston St Unit D
Beeville, TX 78102-5346
Phone
(361) 542-4652
Fax
(361) 362-1369
NPI assigned
Jan 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2097010 TX Primary

Addresses

Primary practice location

1406 E Houston St Unit D
Beeville, TX 78102-5346

Mailing address

1406 E Houston St Ste D
Beeville, TX 78102-5346
Phone (361) 542-4652

Other names 1

  • Tiffany Lina Nash Former name

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
2097010TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Beeville Physical Therapy, PLLC PastSince Apr 17, 2022 Accepting new patients
Coastal Bend Spine & Sport, P.C. PastSince Feb 17, 2012 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": "1452124800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1922464841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1406 E HOUSTON ST STE D",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025346",
            "telephone_number": "361-542-4652",
            "fax_number": "361-542-5653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1406 E HOUSTON ST UNIT D",
            "city": "BEEVILLE",
            "state": "TX",
            "postal_code": "781025346",
            "telephone_number": "361-542-4652",
            "fax_number": "361-362-1369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUXAW",
        "first_name": "TIFFANY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-07",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2097010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TIFFANY",
            "last_name": "NASH",
            "middle_name": "LINA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Beeville, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2022; 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.