Edwin Tantiangco, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

J2-0001224 Issued in DE

Practice address

100 Delaware Veterans Blvd
Milford, DE 19963-5395

Phone

(302) 424-6000

NPI assigned

Sep 27, 2018

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

State licenses

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

{
    "created_epoch": "1538006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538006400000",
    "number": "1396220018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27219 BUCKSKIN TRL",
            "city": "HARBESON",
            "state": "DE",
            "postal_code": "199512719",
            "telephone_number": "302-569-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DELAWARE VETERANS BLVD",
            "city": "MILFORD",
            "state": "DE",
            "postal_code": "199635395",
            "telephone_number": "302-424-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANTIANGCO",
        "first_name": "EDWIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-09-27",
        "last_updated": "2018-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "DE",
            "license": "J2-0001224",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sussex Internal Medicine LLC
• Annamaria Sweetman
• Muhammad Rida Syed, M.D
• Sandra Syglowski
• Muhammad H Tahir, MD
• Ashlee Taylor, COUNSELOR
• Cynthia Louise Taylor, RN, MSN, APN
• Danielle Teal, RN-BSN
• Dawn Tegantvoort, RBT
• Maria Tejera, MD

• Physical Therapy Assistant in Milford, DE
• Providers in Milford, DE by specialty
• Physical Therapy Assistant in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; 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.