Individual provider Active NPI

Tania M Parise, PT

  • Military Health Care Provider
  • Langley Afb, VA
National Provider Identifier
1063559177
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Health Care ProviderTaxonomy code 171000000X
License
PT 21340 Issued in FL
Practice address
1St Medical Group
45 Pine Rd
Langley Afb, VA 23665-2080
Phone
(757) 764-6963
Fax
(757) 764-0975
NPI assigned
Jan 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X PT 21340 FL Primary

Addresses

Primary practice location

1St Medical Group
45 Pine Rd
Langley Afb, VA 23665-2080

Mailing address

1St Medical Group
45 Pine Rd
Langley Afb, VA 23665-2080
Phone (757) 764-6963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT 21340FLMDMilitary Health Care Provider

Practice roles

OrganizationSpecialtyStatusNew patients
Usaf Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1063559177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "45 PINE RD",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-764-6963",
            "fax_number": "757-764-0975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1ST MEDICAL GROUP",
            "address_2": "45 PINE RD",
            "city": "LANGLEY AFB",
            "state": "VA",
            "postal_code": "236652080",
            "telephone_number": "757-764-6963",
            "fax_number": "757-764-0975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARISE",
        "first_name": "TANIA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "FL",
            "license": "PT 21340",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Langley Afb, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.