Provider Demographics
NPI:1023179280
Name:HUNTER, TIFFANEY (PT, DPT, CLT)
Entity type:Individual
Prefix:DR
First Name:TIFFANEY
Middle Name:
Last Name:HUNTER
Suffix:
Gender:F
Credentials:PT, DPT, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3602 S COOPER ST STE 100
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-3480
Mailing Address - Country:US
Mailing Address - Phone:817-583-6424
Mailing Address - Fax:817-476-6333
Practice Address - Street 1:3602 S COOPER ST STE 100
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-3480
Practice Address - Country:US
Practice Address - Phone:817-583-6424
Practice Address - Fax:817-476-6333
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX11449962251G0304X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatricsGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1993396 02Medicaid
TX1993396 01Medicaid