Active NPI
Sarina Tan
- Physical Therapist
- Brooklyn, NY
National Provider Identifier
1225711393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 49221
- Practice address
- 1 Hanson PL Ste 704
Brooklyn, NY 11243-2907 - Phone
- (718) 857-1900
- Fax
- (718) 857-1902
- NPI assigned
- Aug 7, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 | 49221 | NY | Primary |
Addresses
Primary practice location
1 Hanson PL Ste 704
Brooklyn, NY 11243-2907
Mailing address
1255 5TH Ave Apt 6L
New York, NY 10029-3996
Phone (914) 400-1500
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 49221 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691366400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1225711393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1255 5TH AVE APT 6L",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100293996",
"telephone_number": "914-400-1500",
"fax_number": "914-478-8781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 HANSON PL STE 704",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112432907",
"telephone_number": "718-857-1900",
"fax_number": "718-857-1902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "SARINA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-07",
"last_updated": "2023-09-11",
"certification_date": "2023-09-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "49221",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.