IndividualActive
Tiffany Shull, PTA
NPI 1144701749 · Physical Therapy Assistant · Arcola, IL
Provider details
- NPI number
- 1144701749
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Female
- Sole proprietor
- No
- License
- 160.007953 (IL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
909 Green Mill Rd
Arcola, IL 61910-3527
Phone: (217) 268-3516
Street-level locationGet directions
Mailing address
308 N Missouri St
Toledo, IL 62468-1001
Registry dates
- Enumerated
- 2018-08-22
- Last updated
- 2018-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.