Active NPI
Sarah Marie Tank, P.T.
- Physical Therapist
- Laguna Hills, CA
National Provider Identifier
1366610057
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 34459
- Practice address
- 24012 Calle de la Plata
Suite 300
Laguna Hills, CA 92653-3621 - Phone
- (949) 340-6927
- Fax
- (949) 215-7246
- NPI assigned
- Feb 14, 2008
- Sex
- Female
- Sole proprietor
- No
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 | 34459 | CA | Primary |
Addresses
Primary practice location
24012 Calle de la Plata
Suite 300
Laguna Hills, CA 92653-3621
Mailing address
24012 Calle de la Plata
Suite 300
Laguna Hills, CA 92653-3621
Phone (949) 340-6927
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 34459 | CA | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Complete Balance Solution Institute of Physiotherapy Inc | Physical Therapist | Past | Accepting new patients |
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.
-
- Physical Therapist
- Laguna Hills, CA
- NPI 1508936626
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1202947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222819200000",
"number": "1366610057",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24012 CALLE DE LA PLATA",
"address_2": "SUITE 300",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533621",
"telephone_number": "949-340-6927",
"fax_number": "949-215-7246"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24012 CALLE DE LA PLATA",
"address_2": "SUITE 300",
"city": "LAGUNA HILLS",
"state": "CA",
"postal_code": "926533621",
"telephone_number": "949-340-6927",
"fax_number": "949-215-7246"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANK",
"first_name": "SARAH",
"middle_name": "MARIE",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-14",
"last_updated": "2008-10-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "34459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Laguna Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 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.