Individual provider Active NPI

Tony Tang, PTA

  • Physical Therapy Assistant
  • Natick, MA
National Provider Identifier
1336893627
Registry record updated Feb 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
9982 Issued in MA
Practice address
251 W Central St Ste 30
Natick, MA 01760-3758
Phone
(508) 650-0060
Fax
(508) 650-0061
NPI assigned
Feb 7, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 9982 MA Primary

Addresses

Primary practice location

251 W Central St Ste 30
Natick, MA 01760-3758

Mailing address

251 W Central St Ste 30
Natick, MA 01760-3758
Phone (508) 650-0060

Other identifiers 1

IdentifierTypeStateIssuer
9982OtherMABOARD OF ALLIED HEALTH

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.fyzicalmetrowest.com

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

LicenseStateTypeSpecialty
9982MAMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Flexplus Physical Therapy LLC CurrentSince Feb 13, 2022 Accepting new patients

Locations

251 W Central St
Ste 30
Natick, MA 01760
Phone (508) 650-0060

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1644192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644192000000",
    "number": "1336893627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 W CENTRAL ST STE 30",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603758",
            "telephone_number": "508-650-0060",
            "fax_number": "508-650-0061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 W CENTRAL ST STE 30",
            "city": "NATICK",
            "state": "MA",
            "postal_code": "017603758",
            "telephone_number": "508-650-0060",
            "fax_number": "508-650-0061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "TONY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-07",
        "last_updated": "2022-02-07",
        "certification_date": "2022-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MA",
            "license": "9982",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOARD OF ALLIED HEALTH",
            "identifier": "9982",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.fyzicalmetrowest.com",
            "affiliation": "N",
            "address_1": "251 W Central St Ste 30",
            "city": "Natick",
            "state": "MA",
            "country_code": "US",
            "postal_code": "017603758",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Natick, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2022; 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.