Jose Penaranda Tan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT00573 Issued in TN

Practice address

5250 W. Andrew Johnson. Hwy.
Morristown, TN 37814-1027

Phone

(423) 318-7800

Fax

(423) 317-3332

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

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.

• Compwhiz International LLC

  • Physical Therapy Clinic/Center
  • Morristown, TN
  • NPI 1255332581

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386773489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5250 W. ANDREW JOHNSON HIGHWAY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141027",
            "telephone_number": "423-318-7800",
            "fax_number": "423-317-3332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5250 W. ANDREW JOHNSON. HWY.",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378141027",
            "telephone_number": "423-318-7800",
            "fax_number": "423-317-3332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JOSE",
        "middle_name": "PENARANDA",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "OT00573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amy L Swecker, LCSW
• Shayla A Swiney, RN
• Mandy Lee Synamon, REGISTERED NURSE
• Eshoun Terrell Talley, BS
• Lisa Michelle Talley, P. T.
• Michael Angelo Tan, MD
• Wayne E. Tasker, LCSW, LPC
• Cathy Gail Taylor Carter, PR
• Amy R Taylor
• Bobby Mitchell Taylor

• Occupational Therapist in Morristown, TN
• Providers in Morristown, TN by specialty
• Occupational Therapist in Tennessee

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.