Active NPI
Scott L Tjan, P.T.
- Physical Therapist
- Mesa, AZ
National Provider Identifier
1366657934
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3090
- Practice address
- 7255 E Broadway Rd
Mesa, AZ 85208-9201 - Phone
- (480) 981-8844
- Fax
- (480) 981-6998
- NPI assigned
- May 14, 2007
- Sex
- Male
- 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 | 3090 | AZ | Primary |
Addresses
Primary practice location
7255 E Broadway Rd
Mesa, AZ 85208-9201
Mailing address
1374 E Century Ave
Gilbert, AZ 85296-1302
Phone (480) 503-2718
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1366657934",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1374 E CENTURY AVE",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852961302",
"telephone_number": "480-503-2718"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7255 E BROADWAY RD",
"city": "MESA",
"state": "AZ",
"postal_code": "852089201",
"telephone_number": "480-981-8844",
"fax_number": "480-981-6998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TJAN",
"first_name": "SCOTT",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-05-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "3090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesa, AZ
Sources for this page
- 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.