Active NPI
Tiffany Albracht, PT
- Physical Therapist
- Columbia, MO
National Provider Identifier
1982053591
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2021013136
- Practice address
- 200 N Keene St Ste 102
Columbia, MO 65201-8145 - Phone
- (573) 874-0001
- NPI assigned
- Jun 6, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1273480 | TX | |
| Physical Therapist | 225100000X | 2021013136 | MO | Primary |
Addresses
Primary practice location
200 N Keene St Ste 102
Columbia, MO 65201-8145
Mailing address
200 N Keene St Ste 102
Columbia, MO 65201-8145
Phone (573) 874-0001
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 359390101 | Medicaid | TX | |
| 8FBA57 | Other | TX | BCBS |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021013136 | MO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1465171200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642550400000",
"number": "1982053591",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 N KEENE ST STE 102",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018145",
"telephone_number": "573-874-0001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 N KEENE ST STE 102",
"city": "COLUMBIA",
"state": "MO",
"postal_code": "652018145",
"telephone_number": "573-874-0001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALBRACHT",
"first_name": "TIFFANY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-06-06",
"last_updated": "2022-01-19",
"certification_date": "2022-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1273480",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021013136",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "359390101",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "8FBA57",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 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.