Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Weston

Individual provider Physical Therapist · NPI 1104522069

Tiffany Weston is a Physical Therapist in Private Practice in Bryant, Arkansas. Qualified in 2022, 4 years ago. Practices with Pro Active Rehab, Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
4
Licensed in
AR
In the registry since
2023
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Practice location Address checks out

6144 Hwy 5 N Ste 300
Bryant, AR 72022
Phone: (501) 500-3500
Fax: (501) 904-3620
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5259 (AR)

Record details

NPI number1104522069
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 2, 2023
Last updated in NPPESMay 18, 2026
Certification dateMay 18, 2026
Mailing address800 Fair Park Blvd, Little Rock, AR 72204-1720

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Pro Active Rehab, Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bryant