Severino M Tan, DPT

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

1073997 Issued in TX

Practice address

1675 NE Loop 286
Paris, TX 75460-2219

Phone

(903) 782-9922

Fax

(903) 900-4222

NPI assigned

Jun 14, 2018

Sex

Male

Sole proprietor

Yes

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

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.

• Xzact Therapy and Aquatics LLC

  • Physical Medicine & Rehabilitation Physician
  • Paris, TX
  • NPI 1992125447

  Physical Therapy

  NPD (past)

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528934400000",
    "number": "1336632298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 33RD ST SW",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754605369",
            "telephone_number": "903-517-6248",
            "fax_number": "903-900-4222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1675 NE LOOP 286",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754602219",
            "telephone_number": "903-782-9922",
            "fax_number": "903-900-4222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "SEVERINO",
        "middle_name": "M",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-14",
        "last_updated": "2018-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1073997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard B Swint, MD
• Ifteqar Syed, MD
• Synergy Counseling & Consulting LLC
• Michael John Sze, M.D.
• Jerry Tacuyan
• Tapia Internal Medicine Clinic PLLC
• Alefia A Tapia, MD
• Ashfaq A. Tapia, MD
• David H Taylor, M.D.
• Kenneth Taylor, PA-C

• Physical Therapy Clinic/Center in Paris, TX
• Providers in Paris, TX by specialty
• Physical Therapy Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2018; 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.