Rodel Ablin Tan, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028699 Issued in NY

Practice address

845 Palmer Ave
Mamaroneck, NY 10543-2406

Phone

(917) 421-2372

NPI assigned

Jun 21, 2024

Sex

Male

Sole proprietor

No

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

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718928000000",
    "number": "1285478651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 FIVE OAKS LN",
            "city": "VALLEY COTTAGE",
            "state": "NY",
            "postal_code": "109891634",
            "telephone_number": "917-421-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 PALMER AVE",
            "city": "MAMARONECK",
            "state": "NY",
            "postal_code": "105432406",
            "telephone_number": "917-421-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "RODEL",
        "middle_name": "ABLIN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alyssa Maureen Strickland
• Madelyn Carol Strickland, LPN
• Elizabeth Suvanto
• Scott Swanezy, LCSW
• Maybelline Tan
• Sebastian Alejandro Tejada
• Gary P Tenenzapf, RPH MS
• Terence O'Gara, LCSW, PC
• Alyssa Marie Ternullo
• Happy Thampikutty

• Physical Therapist in Mamaroneck, NY
• Providers in Mamaroneck, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; 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.