Tiffany Lucile Dunn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA22114 Issued in FL

Practice address

10094 Colonial Creek LN
Jacksonville, FL 32219-4339

Phone

(904) 554-4200

NPI assigned

Jan 20, 2012

Last updated

Jan 20, 2012By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

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": "1327017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327017600000",
    "number": "1932470010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10094 COLONIAL CREEK LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194339",
            "telephone_number": "904-554-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10094 COLONIAL CREEK LN",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322194339",
            "telephone_number": "904-554-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUNN",
        "first_name": "TIFFANY",
        "middle_name": "LUCILE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-01-20",
        "last_updated": "2012-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA22114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mat Dunn
• Monique F Dunn
• Oct'Cavious Dunn
• Pamela P. Dunn, OTR/L ATP
• Sandra B Dunn, LCSW
• Christopher Dunning, PT, DPT
• Lori Masi Dunning
• Paris Dunomes
• Blake Taylor Dunson, MD
• Xuan T Duong, PHARMD, RPH

• Physical Therapy Assistant in Jacksonville, FL
• Providers in Jacksonville, 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 Jan 20, 2012; 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.