Active NPI
Michelle H Tan, P.T.
- Physical Therapist
- Woodland Hills, CA
National Provider Identifier
1083817514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT33518
- Practice address
- 23388 Mulholland Dr
Woodland Hills, CA 91364-2733 - Phone
- (818) 876-1050
- Fax
- (818) 876-1026
- NPI assigned
- Jun 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT33518 | CA | Primary |
Addresses
Primary practice location
23388 Mulholland Dr
Woodland Hills, CA 91364-2733
Mailing address
5767 W Century Blvd Ste 400
Los Angeles, CA 90045-5631
Other practice location 1
2211 W Magnolia Blvd Ste 160
Burbank, CA 91506-1757
Phone (818) 876-4195
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 87.51 of 100
- Quality
- 79.37
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.65
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT33518 | CA | MD | Physical Therapist |
| 33518 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Progressive Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
Interoperability endpoints
- michelle.tan.p1@direct.lakeside.nextgenshare.com
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.
-
- Physical Therapy Clinic/Center
- Tarzana, CA
- NPI 1184605586
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1576022400000",
"number": "1083817514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5767 W CENTURY BLVD STE 400",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900455631"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23388 MULHOLLAND DR",
"city": "WOODLAND HILLS",
"state": "CA",
"postal_code": "913642733",
"telephone_number": "818-876-1050",
"fax_number": "818-876-1026"
}
],
"practiceLocations": [
{
"address_1": "2211 W Magnolia Blvd Ste 160",
"address_purpose": "LOCATION",
"city": "Burbank",
"state": "CA",
"postal_code": "915061757",
"country_code": "US",
"telephone_number": "818-876-4195",
"fax_number": "818-729-0410",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "TAN",
"first_name": "MICHELLE",
"middle_name": "H",
"name_prefix": "Ms.",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-11",
"last_updated": "2019-12-11",
"certification_date": "2019-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT33518",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodland Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.