Tiffany Desirea List, LMT, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA29516 Issued in FL

Practice address

1049 Eber Blvd Ste 103
Melbourne, FL 32904-8767

Phone

(321) 759-3555

NPI assigned

May 13, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652400000000",
    "number": "1922745751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 ABALONE RD NW",
            "city": "PALM BAY",
            "state": "FL",
            "postal_code": "329072966",
            "telephone_number": "321-759-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1049 EBER BLVD STE 103",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329048767",
            "telephone_number": "321-759-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LIST",
        "first_name": "TIFFANY",
        "middle_name": "DESIREA",
        "credential": "LMT, PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-13",
        "last_updated": "2022-05-13",
        "certification_date": "2022-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "FL",
            "license": "MA72585",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29516",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Seiler Lintz
• Kendra Juana Lipscomb, PHARMD
• Tiffany L Lipsky, PT, DPT
• Arianna Ty Lipton, BCBA
• Lisa Eubank LCSW LLC
• Miladys Liste Leon
• Frank Joseph Listello Jr., M.D.
• Barbara Litt
• Samantha M Litten
• Little Souls Therapy

• Physical Therapy Assistant in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.