Individual provider Active NPI

Tiffany Hoggard, PTA

  • Physical Therapy Assistant
  • West Lafayette, IN
National Provider Identifier
1952976326
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
06004140A Issued in IN
Practice address
2741 N Salisbury St
West Lafayette, IN 47906-1499
Phone
(765) 463-7546
NPI assigned
May 26, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 06004140A IN Primary

Addresses

Primary practice location

2741 N Salisbury St
West Lafayette, IN 47906-1499

Mailing address

4083 Druze Ave
Lafayette, IN 47909-8260
Phone (765) 490-7009

Other practice location 1

4083 Druze Ave
Lafayette, IN 47909-8260
Phone (765) 490-7009

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address th97@evansville.edu Direct

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
06004140AINMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1952976326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4083 DRUZE AVE",
            "city": "LAFAYETTE",
            "state": "IN",
            "postal_code": "479098260",
            "telephone_number": "765-490-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2741 N SALISBURY ST",
            "city": "WEST LAFAYETTE",
            "state": "IN",
            "postal_code": "479061499",
            "telephone_number": "765-463-7546"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4083 Druze Ave",
            "address_purpose": "LOCATION",
            "city": "Lafayette",
            "state": "IN",
            "postal_code": "479098260",
            "country_code": "US",
            "telephone_number": "765-490-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOGGARD",
        "first_name": "TIFFANY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "IN",
            "license": "06004140A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "th97@evansville.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2741 N Salisbury St",
            "city": "West Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479061499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in West Lafayette, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.