Tiffany Desirea List, LMT, PTA is a
Physical Therapy Assistant based in Melbourne, Florida. Tiffany Desirea List is licensed to practice in Florida (license number PTA29516) and her current practice location is
1049 Eber Blvd Ste 103, Melbourne, Florida. She can be reached at her office (for appointments etc.) via phone at
(321) 759-3555.
NPI number for Tiffany Desirea List is 1922745751 and her current mailing address is 112 Abalone Rd Nw, Palm Bay, Florida. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1922745751.
Healthcare Provider's Profile
Full Name | Tiffany Desirea List |
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Gender | Female |
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Speciality | Physical Therapy Assistant |
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Location | 1049 Eber Blvd Ste 103, Melbourne, Florida |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1922745751
- Provider Enumeration Date: 05/13/2022
- Last Update Date: 05/13/2022
Medical Identifiers
Medical identifiers for Tiffany Desirea List such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1922745751 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225700000X | Massage Therapist | MA72585 (Florida) | Secondary |
225200000X | Physical Therapy Assistant | PTA29516 (Florida) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tiffany Desirea List is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Tiffany Desirea List, LMT, PTA 112 Abalone Rd Nw, Palm Bay, FL 32907-2966 Ph: (321) 759-3555 | Tiffany Desirea List, LMT, PTA 1049 Eber Blvd Ste 103, Melbourne, FL 32904-8767 Ph: (321) 759-3555 |
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