Ritchie Tan, OTR/L

Primary specialty

Gerontology Occupational TherapistTaxonomy code 225XG0600X

License

OT11455 Issued in FL

Practice address

4458 Lisette Cir
Brooksville, FL 34604-5812

Phone

(352) 442-5560

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1332979200000",
    "number": "1144596693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4458 LISETTE CIR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346045812",
            "telephone_number": "352-442-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4458 LISETTE CIR",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346045812",
            "telephone_number": "352-442-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "RITCHIE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "FL",
            "license": "OT11455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tampa General Medical Group Inc (TGMG Orthopedics 17222 Hospital Boulevard)
• Tampa Mobility LLC (101 Mobility Inc.)
• Tampa Surgical Solutions PLLC
• Tampa Vamc
• Perry Tan
• Tangerine Cove of Brooksville BSLC LLC (Tangerine Cove of Brooksville)
• Tangerine Cove PLC LLC (Tangerine Cove)
• Guy Tanner, M.D.
• Raul H Tapia
• Tapmd Inc

• Gerontology Occupational Therapist in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Gerontology Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2012; 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.