TIFFANY C MIMS (NPI# 1487874806) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487874806 |
| Entity Type | Individual |
| Full Name | TIFFANY C MIMS |
| Credential | COTA |
| Practice Address |
6218 Holgate Dr Fort Wayne IN 46816-1521 |
| Practice Telephone | 2603483403 |
| Mailing Telephone | 2603483403 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 224Z00000X | Occupational Therapy Assistant | OTA 03454 | OH | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 224Z00000X | Occupational Therapy Assistant | OTA 10375 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 224Z00000X | Occupational Therapy Assistant | 32001243A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417591124 | Tiffany Mims | Counselor | 5155 S Torrey Pines Dr Apt 1115, Las Vegas, NV 89118-0643 | 2019-11-05 |
| 1922612548 | Tiffany Delila Mims | Social Worker | 30800 Chagrin Blvd, Cleveland, OH 44124-5925 | 2020-09-01 |
| 1497193098 | Tiffany Nicole Mims | Respiratory Therapist, Registered | 1500 E Woodrow Wilson Ave, Jackson, MS 39216-5116 | 2013-06-05 |
| Street Address |
6218 HOLGATE DR |
| City | FORT WAYNE |
| State | IN |
| Zip Code | 46816-1521 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841769270 | Brian Bernard Conaway | Occupational Therapist | 7125 S Hanna St, Fort Wayne, IN 46816 | 2018-11-14 |
| 1073006938 | Fort Wayne Aal Lp | Assisted Living Facility | 7125 S Hanna Street, Fort Wayne, IN 46816 | 2018-06-14 |
| 1811282064 | Connisha Sanders | Occupational Therapy Assistant | 8309, Bridgeway Cir Apt 3a, Fort Wayne, IN 46816 | 2011-06-16 |
| 1144239609 | James J Bohlin | Dentist | 7524 South Anthony Blvd., Fort Wayne, IN 46816 | 2006-08-05 |
| 1578594537 | K Mart Corp | Pharmacy | 7530 S Anthony Blvd, Fort Wayne, IN 46816 | 2006-07-06 |
| 1720540503 | Jill Ann Woodward | Occupational Therapy Assistant | 7125 S Hanna St, Fort Wayne, IN 46816 | 2019-04-02 |
| 1639163884 | Patrice C Ellingson | Optometrist | 1515 E Paulding Rd, Fort Wayne, IN 46816 | 2005-09-02 |
| 1114140134 | Jon D. Ingleman | Dentist | 223 E Tillman Rd, Fort Wayne, IN 46816-1016 | 2007-04-10 |
| 1538189063 | Yoder/rahrig Family Dentistry | Dentist | 333 E Tillman Rd, Fort Wayne, IN 46816-1017 | 2006-07-20 |
| 1619997137 | Gerald J. Rahrig | Dentist | 333 E Tillman Rd, Fort Wayne, IN 46816-1017 | 2006-07-20 |
| Find all providers in zip 46816 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609491414 | Kerry Herndon | Occupational Therapy Assistant | 3715 Union Chapel Rd, Fort Wayne, IN 46845-7400 | 2020-06-08 |
| 1588121552 | Danelle Hair | Occupational Therapy Assistant | 12909 Arcola Rd, Fort Wayne, IN 46818-9726 | 2019-02-26 |
| 1326557877 | Kimberly K Kolb | Occupational Therapy Assistant | 1431 Runnion Ave, Fort Wayne, IN 46808 | 2017-09-28 |
| 1548626740 | Sheila Faye Lefevra | Occupational Therapy Assistant | 2515 Hubertus Ave, Fort Wayne, IN 46805-3722 | 2016-01-05 |
| 1134594179 | Lynnette Latrice Pickett | Occupational Therapy Assistant | 4419 Marquette Dr, Fort Wayne, IN 46806-4623 | 2015-12-02 |
| 1528430576 | Brittany Morel | Occupational Therapy Assistant | 1345 Ashley Ave, Fort Wayne, IN 46825-3205 | 2015-10-28 |
| 1992174098 | Justin Eutsler | Occupational Therapy Assistant | 4814 W Wallen Rd, Fort Wayne, IN 46818-9407 | 2015-09-18 |
| 1063801348 | Jami Long | Occupational Therapy Assistant | 4180 Sage Bluff Crossin, Fort Wayne, IN 46804 | 2015-01-09 |
| 1083012785 | Joshua Entenman | Occupational Therapy Assistant | 5531 Hopkinton Dr, Fort Wayne, IN 46814-7542 | 2014-12-11 |
| 1578983359 | Sarah Buzzard | Occupational Therapy Assistant | 9426 Lima Road, A, Fort Wayne, IN 46818 | 2014-04-21 |
| Find all providers in FORT WAYNE | ||||
| City | FORT WAYNE |
| Zip Code | 46816 |
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| 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.