Daniel Poblete Tan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

63-033498 Issued in NY

Practice address

311 W 43Rd St
Suite1101
New York, NY 10036-6413

Phone

(212) 315-1412

Fax

(212) 315-1442

NPI assigned

Feb 12, 2010

Last updated

May 28, 2014By the provider in NPPES

Sex

Male

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)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• 43Rd St. Physical Medicine and Rehabilitation, PLLC

  • Physical Therapist
  • New York, NY
  • NPI 1609149582
  NPD (past)
• Westside Chiropractic Wellness and Rehabilitation PLLC

  • Chiropractor
  • New York, NY
  • NPI 1548415482
  NPD (past)

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

{
    "created_epoch": "1265932800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401235200000",
    "number": "1396077590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "98 AVENUE U",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112233641",
            "telephone_number": "718-946-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "311 W 43RD ST",
            "address_2": "SUITE1101",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100366413",
            "telephone_number": "212-315-1412",
            "fax_number": "212-315-1442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "DANIEL",
        "middle_name": "POBLETE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-02-12",
        "last_updated": "2014-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070-017578",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "63-033498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caroline Anne Powao Tan, PTA, PT, DPT
• Carrie Tan, PHARMD
• Cheryl Tan, LCSW, PHD
• Chun Han Nigel Tan, MD
• Chyne Tan, MD
• Danielle Grace Sy Tan, MD
• Doris Uy Tan, MD
• Dylan Tan, MD
• Gary Xia Vern Tan, MBBS
• Hong J. Tan

• Physical Therapist in New York, NY
• Providers in New York, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2014; 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.