Active NPI
Maryvee Asino Tan, PT
- Physical Therapist
- Harbor City, CA
National Provider Identifier
1326216383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT 20930
- Practice address
- 1041 Harbor Heights Dr Unit I
Harbor City, CA 90710-3086 - Phone
- (310) 326-5093
- NPI assigned
- Feb 13, 2008
- 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 | PT 20930 | CA | Primary |
Addresses
Primary practice location
1041 Harbor Heights Dr Unit I
Harbor City, CA 90710-3086
Mailing address
1041 Harbor Heights Dr Unit I
Harbor City, CA 90710-3086
Phone (310) 326-5093
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 20930 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202860800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202860800000",
"number": "1326216383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1041 HARBOR HEIGHTS DR UNIT I",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907103086",
"telephone_number": "310-326-5093"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1041 HARBOR HEIGHTS DR UNIT I",
"city": "HARBOR CITY",
"state": "CA",
"postal_code": "907103086",
"telephone_number": "310-326-5093"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "MARYVEE",
"middle_name": "ASINO",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-02-13",
"last_updated": "2008-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT 20930",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harbor City, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.