Healthcare Provider Details

I. General information

NPI: 1477575645
Provider Name (Legal Business Name): TIFFANY L CARTER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/24/2006
Last Update Date: 05/26/2026
Certification Date: 05/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PENNSYLVANIA AVE SE STE 202
WASHINGTON DC
20003-4425
US

IV. Provider business mailing address

1956 3RD ST NE APT 5
WASHINGTON DC
20002-1455
US

V. Phone/Fax

Practice location:
  • Phone: 202-543-9400
  • Fax:
Mailing address:
  • Phone: 202-543-9400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT870695
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: