Sidney Tobin Tavss

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT18910 Issued in CA

Practice address

5930 Adobe Rd
Twentynine Palms, CA 92277

Phone

(760) 369-1743

NPI assigned

Apr 20, 2007

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)

Enrolled

State licenses

Practice roles

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.

• Pro Physical Therapy, Inc.

  • Physical Therapist
  • Columbus, NC
  • NPI 1952359010
  NPD (past)

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295952950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1633",
            "city": "SANDPOINT",
            "state": "ID",
            "postal_code": "838640870",
            "telephone_number": "760-902-0433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "92277",
            "telephone_number": "760-369-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAVSS",
        "first_name": "SIDNEY",
        "middle_name": "TOBIN",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT18910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven Geduld DDS Dental Corporation
• Heather Stricklin, AMFT
• Moheen Suna-Sitto, PA
• Sungchun S. Wee, DDS, Inc
• Alicia Gaidry Sykes, MD, MA
• Gregory M Taylor, MD
• Jill Henderson Taylor, CF-SLP
• Kevin-Thinh Ho Hoang Thai, D.O
• Samjhana Thapa
• The Janz Corporation

• Physical Therapist in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.