Sally Tadross

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

300177 Issued in CA

Practice address

7921 Professional Cir
Huntington Beach, CA 92648-1901

Phone

(714) 847-8751

NPI assigned

Jul 19, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1563494400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1376196295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7921 PROFESSIONAL CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481901",
            "telephone_number": "714-847-8751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7921 PROFESSIONAL CIR",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926481901",
            "telephone_number": "714-847-8751"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "625 The City Dr S Ste 120",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CA",
            "postal_code": "928683352",
            "country_code": "US",
            "telephone_number": "866-727-8274",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TADROSS",
        "first_name": "SALLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-07-19",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sandra Szymanski
• T &S Luxuryservice, LLC
• Amy Ta
• Emily Phuong-Mi Ta
• Serena Trang Ta, D.D.S.
• Josette Renee Taglieri, D.O.
• Jillian Leigh Tague, MA, ED.S
• Pamela Ruma Taguines, FNP-BC
• Dean Kenji Takiguchi, PT
• Talbert Medical Group, P.C.

• Physical Therapist in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2021; 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.