Tiffany Willis
Tiffany Willis is a Physical Therapy Assistant provider (Physical Therapy Assistant) practicing in Canton, MI, registered in the NPPES registry with NPI 1679439665 since 2026. Practices at Pryde Physical Therapy Pllc (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1679439665 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Tiffany Willis |
| Sex | Female |
| Practice address | 5536 RESEARCH DR, Canton, MI, 48188 |
| Phone | 7348951901 |
| Enumeration date | 2026-01-02 |
| Last updated in NPPES | 2026-01-02 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225700000X | Massage Therapist | Secondary | 7501005565 | MI |
| 225200000X | Physical Therapy Assistant | Primary | 5502005739 | MI |
Copy-ready billing details
Provider: Tiffany Willis NPI: 1679439665 Taxonomy: 225200000X (Physical Therapy Assistant) Address: 5536 RESEARCH DR, Canton, MI, 48188
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1689279002 | Joseph Martenka | Individual | Physical Therapist | Canton, MI |
| 1912503830 | Pryde Physical Therapy Pllc | Organization | Physical Therapist | Canton, MI |
| 1215507553 | Daniel Platt | Individual | Health & Wellness Coach | Canton, MI |
| 1760134431 | Martinson Nyarko | Individual | Physical Therapist | Canton, MI |
| 1558135426 | Katia Skarupinski | Individual | Physical Therapist | Canton, MI |
| 1831040450 | Devon Van Rensburg | Individual | Physical Therapist | Canton, MI |
Verify this record
Cross-check NPI 1679439665 against the authoritative CMS record: view Tiffany Willis on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2026-01-02.