Joseph Siojo Tan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

5201009733 Issued in MI

Practice address

2060 Health Dr SW
Wyoming, MI 49519-9687

Phone

(616) 333-1200

NPI assigned

Feb 28, 2018

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1519776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519776000000",
    "number": "1023519626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82 CAMPAU CIR NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495032659",
            "telephone_number": "248-930-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2060 HEALTH DR SW",
            "city": "WYOMING",
            "state": "MI",
            "postal_code": "495199687",
            "telephone_number": "616-333-1200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JOSEPH",
        "middle_name": "SIOJO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-28",
        "last_updated": "2018-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201009733",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Beatrice Szymanski, DDS
• Edward Szymanski
• David C Tabor, DO
• Melisa Taghon
• Maari Angela Tally, M.A.
• Mi Tieu Tang, RPH
• Lori J Tatay, PA-C
• Lindsey Diane Taylor-Durfee, RN
• Amanda Taylor, RN
• Daniel Paul Taylor, DO

• Occupational Therapist in Wyoming, MI
• Providers in Wyoming, MI by specialty
• Occupational Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.