TIFFANY NICOLE NIELSEN (PT) – Physical Therapist, NPI 1346752847

TIFFANY NICOLE NIELSEN (PT) is a healthcare provider. based in Gillette, Wyoming. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 1498 (WY). The NPI Number for TIFFANY NICOLE NIELSEN (PT) is 1346752847

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
TIFFANY NICOLE NIELSEN (PT)
NPI
1346752847
Phone
(307) 688-8000
Address
508 Stocktrail Ave Ste B
Enumeration Date
25 October 2017
Last Update Date
17 September 2018

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3076868177
Graduation Year
2015 (11 years ago)
PAC ID
7214280817
Group Practice PAC ID
3072648468
Professional Enrollment ID
I20181029002647
Address ID
WY827185582GI1103XRDXX403
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

389 PHYSICAL THERAPIST IN PRIVATE PRACTICE in WY

Provider Addresses for TIFFANY NICOLE NIELSEN (PT)

  • 508 Stocktrail Ave Ste B

    Gillette, WY 827163582

    Phone: (307) 688-8000

    Type: Location

  • 1103, East Boxelder Road, Gillette, Campbell County, Wyoming, 82718, United States

    GILLETTE, WY 82718

    Phone: (307) 686-8177

    Fax: (307) 686-9484

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2018-10-29

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20181029002647IPhysical Therapist In Private PracticeWYTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes67572$0
97140Therapy procedure using manual technique, each 15 minutes59072$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes50071$0
97016Application of blood vessel compression device9621$0
97032Application of electrical stimulation with therapist present, each 15 minutes6123$0
View full utilization report →

Insurance plans in this area (ZIP 82716)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072648468View full group profile
NameSpecialtyState
Occupational Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Occupational Therapist In Private PracticeCO
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY
Physical Therapist In Private PracticeWY

Reviews

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Frequently asked questions

What NPI should I save for TIFFANY NICOLE NIELSEN (PT)?
Save NPI 1346752847 if you need a stable reference for TIFFANY NICOLE NIELSEN (PT).
Is TIFFANY NICOLE NIELSEN (PT) currently active in the NPI registry?
CMS-published data lists TIFFANY NICOLE NIELSEN (PT) as an active registrant.
What kind of provider is TIFFANY NICOLE NIELSEN (PT)?
The page reflects Physical Therapist for TIFFANY NICOLE NIELSEN (PT). Clinical services aligned with this taxonomy classification.
Does TIFFANY NICOLE NIELSEN (PT) practice in Wyoming?
You will see Gillette, Wyoming on file for TIFFANY NICOLE NIELSEN (PT) alongside any extra practice locations.
Is TIFFANY NICOLE NIELSEN (PT) a real provider?
This page reflects official NPPES data for NPI 1346752847. Always confirm identity and privileges with the practice and licensing boards.

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