Individual provider Active NPI

Eric Tam, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1407525090
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5024 Issued in NV
Practice address
9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone
(702) 818-5000
Fax
(702) 818-5001
NPI assigned
Sep 8, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X
Physical Therapist 225100000X 5024 NV Primary

Addresses

Primary practice location

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935

Mailing address

9070 W Cheyenne Ave Ste 100
Las Vegas, NV 89129-8935
Phone (702) 818-5000

Other practice location 1

9645 S Western Ave
Chicago, IL 60643-1722
Phone (773) 239-2734

Other practice location 2

6785 W Russell Rd Ste 110
Las Vegas, NV 89118-1862
Phone (702) 818-5000

Other practice location 3

9005 S Pecos Rd Ste 2520
Henderson, NV 89074-7191
Phone (702) 818-5000

Other practice location 4

1590 W Sunset Rd Ste 110
Henderson, NV 89014-6633
Phone (702) 818-5000

Other practice location 5

401 N Buffalo Dr Ste 120
Las Vegas, NV 89145-0397
Phone (702) 818-5000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, WA, CA3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20210923000627 IL Practitioner - Physical Therapist in Private Practice 8921405648 Reassigns benefits to 1 organization
I20230705000607 WA Practitioner - Physical Therapist in Private Practice 8921405648 Reassigns benefits to 1 organization
I20240229002978 CA Practitioner - Physical Therapist in Private Practice 8921405648 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

948 San Pablo Ave
Albany, CA 94706-2010
Phone (510) 526-2353

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
Integrated Rehabilitation Group, PC Physical Therapist CurrentSince Jun 12, 2023 Accepting new patients
California Sports Physical Therapy Centers, Inc. Physical Therapist Current Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
Athletic and Therapeutic Institute of Naperville, LLC CurrentSince Aug 30, 2021 Accepting new patients
Athletic and Therapeutic Institute of Naperville LLC Physical Therapist CurrentSince Aug 30, 2021 Accepting new patients
California Sports Physical Therapy Centers Inc Physical Therapist CurrentSince Feb 19, 2024 Accepting new patients
California Sports Physical Therapy Centers Inc Past Accepting new patients

Locations

948 San Pablo Ave
Albany, CA 94706
Phone (510) 526-2353

20211 Patio Dr
Ste 205
Castro Valley, CA 94546
Phone (510) 537-3991

101 Wilson Rd
Ste C
Monterey, CA 93940
Phone (831) 375-1885

350 Bollinger Canyon Ln
Ste A
San Ramon, CA 94582
Phone (925) 735-6414

5910 Pacific Ave
#I
Stockton, CA 95207
Phone (209) 475-1000

2792 Naglee Rd
Tracy, CA 95304
Phone (209) 433-6510

790 Remington Blvd
Bolingbrook, IL 60440

9645 S Western Ave
Chicago, IL 60643
Phone (773) 239-2734

4947 Paysphere Cir
Chicago, IL 60674
Phone (630) 783-2001

800 Des Plaines Ave
Forest Park, IL 60130
Phone (708) 366-2442

2325 W Monroe St
Springfield, IL 62704
Phone (217) 241-0270

967 N Green Bay Rd
Waukegan, IL 60085
Phone (224) 321-5237

109 W Geneva Rd
Wheaton, IL 60187
Phone (630) 784-3251

0S050 Winfield Rd
Ste 120
Winfield, IL 60190
Phone (630) 653-4743

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

10207 19th Ave SE
Everett, WA 98208
Phone (425) 337-3166

403 W Stanley St
Granite Falls, WA 98252
Phone (360) 691-4835

4220 132nd St SE
Ste 101
Mill Creek, WA 98012
Phone (425) 316-8046

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1631059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1407525090",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9070 W CHEYENNE AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891298935",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9645 S Western Ave",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606431722",
            "country_code": "US",
            "telephone_number": "773-239-2734",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6785 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891181862",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9005 S Pecos Rd Ste 2520",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890747191",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1590 W Sunset Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Henderson",
            "state": "NV",
            "postal_code": "890146633",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "401 N Buffalo Dr Ste 120",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891450397",
            "country_code": "US",
            "telephone_number": "702-818-5000",
            "fax_number": "702-818-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAM",
        "first_name": "ERIC",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-08",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "5024",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.