MEDICARE: TIFFANY SPERRY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT 18678	FL

General Provider Information

NPI Number	:	1144219809
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIFFANY SPERRY PT

Provider Business Mailing Address
First Line	:	13020 N TELECOM PKWY
Second Line	:
City	:	TEMPLE TERRACE
State	:	FL
Zip	:	33637-0925
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:	813-972-5055

Provider Business Practice Location Address
First Line	:	3618 MADACA LN
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33618-2057
Country	:	US
Telephone Number	:	813-978-9700
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/17/2005
Last Update Date	:	10/30/2024

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Directions to “ TIFFANY SPERRY PT” Practice Location

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