TIFFANY M PELLETIER (NPI# 1417149949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417149949 |
| Entity Type | Individual |
| Full Name | TIFFANY M PELLETIER |
| Credential | P.T. |
| Practice Address |
6301 Forest Hills Dr Ne Albuquerque NM 87109-4137 |
| Mailing Address |
10258 Oso Redondo Ne Albuquerque NM 87111-6918 |
| Practice Telephone | 5058238350 |
| Mailing Telephone | 5059747938 |
| Enumeration Date | 2007-08-17 |
| Last Update Date | 2012-02-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
3488 | NM | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
6301 FOREST HILLS DR NE |
| City | ALBUQUERQUE |
| State | NM |
| Zip Code | 87109-4137 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477629459 | Deana T Hartwig | Physical Therapy Assistant | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2006-11-28 |
| 1629465364 | Michele Dessalet | Physical Therapist | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2015-04-21 |
| 1902205644 | Stephanie Hines | Physical Therapist | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2014-08-19 |
| 1942635834 | Pratibha Anil Nirgudkar | Occupational Therapist | 6301 Forest Hills Dr Ne, Presbyterian Healthplex, Albuquerque, NM 87109-4137 | 2013-09-10 |
| 1073856779 | Keenan Jackson | Occupational Therapist | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2013-04-01 |
| 1649510413 | Helen Senesac | Physical Therapist | 6301 Forest Hills Dr Ne, Presbyterian Healthplex, Albuquerque, NM 87109-4137 | 2013-02-15 |
| 1467791137 | Mary E Cline | Physical Therapist | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2013-01-31 |
| 1730437302 | Ryan Coufal | Physical Therapist | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2012-08-29 |
| 1588921753 | Jamie Lynn Wilhelm | Physical Therapist | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2012-04-12 |
| 1366709537 | Steven Robert Saal | Physical Therapist | 6301 Forest Hills Dr Ne, Albuquerque, NM 87109-4137 | 2012-04-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386286367 | Mikaela Epaloose | Behavior Technician | 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-10-11 |
| 1245872464 | Marsha Director | Behavior Technician | 100 Sun Avenue Ne, Ste 650, Albuquerque, NM 87109 | 2019-10-09 |
| 1720637499 | Nancy Gail Vice | Technician | 7319 Laguna Niguel Drive Ne, Albuquerque, NM 87109 | 2019-09-05 |
| 1598314411 | Chau Vu | Behavior Technician | Attn: Behavioral Health Works 100 Sun Avenue N.e., Suite 650, Albuquerque, NM 87109 | 2019-09-04 |
| 1932753498 | Noelle Nielsen | Behavior Technician | 6401 Academy Rd. Ne Apt. 189, Albuquerque, NM 87109 | 2019-08-01 |
| 1952967952 | Caridad Merkel | Obstetrics & Gynecology | 6100 Pan American Fwy Ne Suite 450, Albuquerque, NM 87109 | 2019-05-15 |
| 1043795149 | Margaret Mcconville | Physical Therapist | Lovelace Women's Hospital Outpatient Rehabilitation, 4600 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-09-25 |
| 1922586262 | Clark Endodontics LLC | Dentist | 7520 Montgomery Blvd Ne Bldg E1, Albuquerque, NM 87109 | 2018-07-30 |
| 1447736202 | Melissa Christine Scott | Registered Nurse | Lovelace Women's Hospital, 4701 Montgomery Blvd Ne, Albuquerque, NM 87109 | 2018-07-16 |
| 1508351990 | Gianna Nicole Casarez-quintana | Dentist | 7520 Montgomery Blvd Ne Bldg E10, Albuquerque, NM 87109 | 2018-06-27 |
| Find all providers in zip 87109 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033686316 | Clark Bearsmith | Physical Therapist | 7849 Tramway Blvd Ne, Albuquerque, NM 87122-2515 | 2018-10-25 |
| 1407376460 | Marisa Raquel Esquivel | Physical Therapist | 9201 Montgomery Blvd Ne Ste 302, Albuquerque, NM 87111-2467 | 2017-06-21 |
| 1730511130 | Krista Leigh Riebli | Physical Therapist | 6700 Jefferson St Ne Bldg E, Albuquerque, NM 87109-4393 | 2013-08-07 |
| 1154426971 | Linda Marie Mcclanahan | Physical Therapist | 9201 Montgomery Blvd Ne, Suite 302, Albuquerque, NM 87111-2468 | 2006-09-14 |
| 1922055185 | Leanne M Adell | Physical Therapist | 600 Central Ave Se, Suite D, Albuquerque, NM 87102-3656 | 2006-05-30 |
| 1144797432 | Scoliosis Abq LLC | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1376010660 | Susan Halbig | Physical Therapist | 6739 Academy Rd Ne, Albuquerque, NM 87109-3351 | 2018-10-25 |
| 1326597980 | Brigit Barre | Physical Therapist | 4400 Lead Ave Se, Albuquerque, NM 87108-2844 | 2016-09-23 |
| 1831542406 | Julianne Keith | Physical Therapist | 6330 Riverside Plaza Ln Nw, Suite 150, Albuquerque, NM 87120-2681 | 2016-07-19 |
| 1942690789 | Diane Datz | Physical Therapist | 6330 Riverside Plaza Ln Nw, 303, Albuquerque, NM 87120-2681 | 2015-02-02 |
| Find all providers in ALBUQUERQUE | ||||
| City | ALBUQUERQUE |
| Zip Code | 87109 |
Please comment or provide details below to improve the information on TIFFANY M PELLETIER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.