Tiffany Ann Seal, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA6088 Issued in MS

Practice address

10470 Diberville Blvd Ste H
Diberville, MS 39540-2419

Phone

(228) 280-8120

Fax

(228) 280-8121

NPI assigned

Feb 24, 2017

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

Practice roles

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.

• Dynamic Rehabilitation Services LLC

  • Physical Therapist
  • Diberville, MS
  • NPI 1194102434
  NPD (past)

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

{
    "created_epoch": "1487894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487894400000",
    "number": "1972043933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10470 DIBERVILLE BLVD STE H",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402419",
            "telephone_number": "228-280-8120",
            "fax_number": "228-280-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10470 DIBERVILLE BLVD STE H",
            "city": "DIBERVILLE",
            "state": "MS",
            "postal_code": "395402419",
            "telephone_number": "228-280-8120",
            "fax_number": "228-280-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEAL",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-24",
        "last_updated": "2017-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MS",
            "license": "PTA6088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katherine Lynne Sanders, O.D.
• Shayna Sanders
• Kelly Rae Santine Landry, MPT
• Farrah Schonewitz
• Scripts, LLC
• Doreen Shoemake
• Mary L Simmons
• Singing River Hospital System
• Heather Sink, PHARMD
• Marlene Ann Skulskie, O.D.

• Physical Therapy Assistant in Diberville, MS
• Providers in Diberville, MS by specialty
• Physical Therapy Assistant in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2017; 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.