Candy Rose Tibbs
Occupational Therapy Assistant in Southlake, TX. Individual provider (NPI-1).
NPI number1669952859
StatusActive
Last updated in NPPESAug 16, 2018
Details
- NPI
- 1669952859
- Entity type
- Individual (NPI-1)
- Name
- Candy Rose Tibbs
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2018
- Last updated
- Aug 16, 2018
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | 208915 | TX | Yes |
Practice location
170 Stonebridge LnSouthlake, TX 76092-0306
Phone 817-431-5778 · Fax 817-337-0446
Mailing address
170 Stonebridge LnSouthlake, TX 76092-0306
Phone 817-431-5778 · Fax 817-337-0446
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Southlake, TX
- Simone JonesNPI 1851160519
- Amy Moser, COTANPI 1174003503
- Bailey Nichols, COTA/LNPI 1750965018
- Brittany Ann Stout, COTANPI 1699483636
All 5 Occupational Therapy Assistant providers in Southlake · All 2,154 providers in Southlake
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