Tiffany Ann Gordon

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

24782 Issued in CA

Practice address

53 Viburnum Way
Ladera Ranch, CA 92694-0852

Phone

(949) 218-7635

NPI assigned

Nov 6, 2008

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mesisca Physical Therapy IncGroup PAC ID 6406749548, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Mesisca Physical Therapy Inc

  • Geriatric Physical Therapist
  • Laguna Niguel, CA
  • NPI 1821104472

  CA, Geriatrics

  Medicare reassignment Care Compare group NPD
• JM Physical Therapy Inc

  • Physical Therapist
  • Laguna Niguel, CA
  • NPI 1558658336

  Geriatrics

  NPD (past)

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

{
    "created_epoch": "1225929600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225929600000",
    "number": "1992959795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "53 VIBURNUM WAY",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940852",
            "telephone_number": "949-218-7635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "53 VIBURNUM WAY",
            "city": "LADERA RANCH",
            "state": "CA",
            "postal_code": "926940852",
            "telephone_number": "949-218-7635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDON",
        "first_name": "TIFFANY",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-06",
        "last_updated": "2008-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "CA",
            "license": "24782",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gire and Salmassian Dental Corporation
• Golden Hearts of Oc, LLC
• Michelle Gomez-Salazar, LCSW
• Catherine Gordon, RN, IBCLC
• Kayley Gordon
• Kimberly Rivera Gress, DDS
• Bettina A Grillo
• Tyler Hales, DDS
• Sogol Safarian Hamedany
• Maryam Hamidi, PHYSICAL THERAPIST

• All providers in Ladera Ranch, CA
• Geriatric Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.