Individual provider Active NPI

Nancey Trevanian Tsai, MD

  • Physical Medicine & Rehabilitation Physician
  • Hanahan, SC
National Provider Identifier
1205938040
Registry record updated Jul 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
23922 Issued in SC
Practice address
58 N Basilica Ave
Hanahan, SC 29410-8657
Phone
(206) 295-3621
NPI assigned
Sep 2, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2025

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

Specialties & licenses 15

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X E-18899 AR
Physical Medicine & Rehabilitation Physician 208100000X 231951 AK
Physical Medicine & Rehabilitation Physician 208100000X 46592 AZ
Physical Medicine & Rehabilitation Physician 208100000X A77187 CA
Physical Medicine & Rehabilitation Physician 208100000X DR.0074687 CO
Physical Medicine & Rehabilitation Physician 208100000X 76020 CT
Physical Medicine & Rehabilitation Physician 208100000X C1-0026612 DE
Physical Medicine & Rehabilitation Physician 208100000X ME170224 FL
Physical Medicine & Rehabilitation Physician 208100000X 100903 GA
Physical Medicine & Rehabilitation Physician 208100000X MD-24221 HI
Physical Medicine & Rehabilitation Physician 208100000X 36163120 IL
Physical Medicine & Rehabilitation Physician 208100000X 01093303A IN
Physical Medicine & Rehabilitation Physician 208100000X TH0007616 IN
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X MD.14081R LA
Physical Medicine & Rehabilitation Physician 208100000X 23922 SC Primary

Addresses

Primary practice location

58 N Basilica Ave
Hanahan, SC 29410-8657

Mailing address

58 N Basilica Ave
Hanahan, SC 29410-8657
Phone (206) 295-3621

Other practice location 1

7033 Hayvenhurst Ave
Van Nuys, CA 91406-3802
Phone (833) 526-3848

Other practice location 2

7033 Hayvenhurst Ave
Van Nuys, CA 91406-3802
Phone (833) 526-3848

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC, CA, AZ, MO4 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20071227000600 SC Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 3779581244 Reassigns benefits to 2 organizations
I20240319001281 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Sports Medicine 3779581244 Reassigns benefits to 1 organization
I20250404002076 AZ Practitioner - Physical Medicine and RehabilitationPractitioner - Neurology 3779581244 Reassigns benefits to 1 organization
I20250421000421 MO Practitioner - Physical Medicine and Rehabilitation 3779581244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Sports Medicine
Education
Eastern Virginia Medical School, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kandu Medical Services West PCGroup PAC ID 4082050711, 6 clinicians

Practice addresses (Care Compare)

210 E Hacienda Ave
Campbell, CA 95008-6617
Phone (833) 526-3848

58 N Basilica Ave
Hanahan, SC 29410-8657
Phone (833) 526-3848

64 E Broadway Rd
Suite 200
Tempe, AZ 85282-1377
Phone (833) 526-3848

7280 NW 87TH Ter
Suite 210
Kansas City, MO 64153-3706
Phone (833) 526-3848

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
231951AKMDPhysical Medicine & Rehabilitation Physician
E-18899ARMDPhysical Medicine & Rehabilitation Physician
46592AZMDPhysical Medicine & Rehabilitation Physician
A77187CAMDPhysical Medicine & Rehabilitation Physician
DR.0074687COMDPhysical Medicine & Rehabilitation Physician
76020CTMDPhysical Medicine & Rehabilitation Physician
C1-0026612DEMDPhysical Medicine & Rehabilitation Physician
ME170224FLMDPhysical Medicine & Rehabilitation Physician
100903GAMDPhysical Medicine & Rehabilitation Physician
MD-24221HIMDPhysical Medicine & Rehabilitation Physician
36163120ILMDPhysical Medicine & Rehabilitation Physician
01093303AINMDPhysical Medicine & Rehabilitation Physician
TH0007616INMDPhysical Medicine & Rehabilitation Physician
MD.14081RLAMDSports Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Roper Hospital Inc. CurrentSince Dec 11, 2017 Accepting new patients
Kandu Medical Services West PC Physical Medicine & Rehabilitation CurrentSince Jul 22, 2022 Accepting new patients
Roper Hospital, Inc. Current Accepting new patients
Roper Hospital, Inc. CurrentSince Dec 11, 2017 Accepting new patients
Neurolutions Inc PastSince Feb 18, 2024 Accepting new patients
Jennifer W. Carl, M.D.,PC Physical Medicine & Rehabilitation Past Accepting new patients

Locations

64 E Broadway Rd
Ste 200
Tempe, AZ 85282
Phone (202) 375-4508

210 E Hacienda Ave
Campbell, CA 95008
Phone (408) 874-1823

7033 Hayvenhurst Ave
Ste A
Van Nuys, CA 91406

7033 Hayvenhurst Ave
Van Nuys, CA 91406
Phone (831) 295-6139

332 S Michigan Ave
Ste 900
Chicago, IL 60604
Phone (813) 395-1073

7280 NW 87th Ter
Ste 210
Kansas City, MO 64153
Phone (816) 841-7735

136 Madison Ave
Fl 5
New York, NY 10016
Phone (212) 828-7473

470 Olde Worthington Rd
Ste 200
Westerville, OH 43082
Phone (614) 340-7587

316 Calhoun St
Charleston, SC 29401
Phone (843) 724-2000

149 Saint James Ave
Goose Creek, SC 29445
Phone (843) 724-3456

416 Robertson Blvd
Ste B
Walterboro, SC 29488
Phone (843) 549-2411

Organizations & group practices 6

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": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1205938040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 N BASILICA AVE",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108657",
            "telephone_number": "206-295-3621",
            "fax_number": "206-295-3621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 N BASILICA AVE",
            "city": "HANAHAN",
            "state": "SC",
            "postal_code": "294108657",
            "telephone_number": "206-295-3621"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7033 Hayvenhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063802",
            "country_code": "US",
            "telephone_number": "833-526-3848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7033 Hayvenhurst Ave",
            "address_purpose": "LOCATION",
            "city": "Van Nuys",
            "state": "CA",
            "postal_code": "914063802",
            "country_code": "US",
            "telephone_number": "833-526-3848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAI",
        "first_name": "NANCEY",
        "middle_name": "TREVANIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-02",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "E-18899",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AK",
            "license": "231951",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AZ",
            "license": "46592",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CA",
            "license": "A77187",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CO",
            "license": "DR.0074687",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "76020",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "DE",
            "license": "C1-0026612",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME170224",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "GA",
            "license": "100903",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "HI",
            "license": "MD-24221",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IL",
            "license": "36163120",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "01093303A",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "IN",
            "license": "TH0007616",
            "primary": false
        },
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "LA",
            "license": "MD.14081R",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "SC",
            "license": "23922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanahan, SC

Sources for this page

Verify at the official NPI Registry.