Active NPI
Anthony G Tam, DPT
- Sports Physical Therapist
- Bonita, CA
National Provider Identifier
1447757125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Physical Therapist
- Practice address
- 5030 Bonita Rd Ste B
Bonita, CA 91902-1700 - Phone
- (619) 479-7473
- Fax
- (619) 479-9376
- NPI assigned
- Apr 10, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | Primary |
Addresses
Primary practice location
5030 Bonita Rd Ste B
Bonita, CA 91902-1700
Mailing address
5030 Bonita Rd Ste B
Bonita, CA 91902-1700
Phone (619) 479-7473
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2017
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
265 E St
Suite a
Chula Vista, CA 91910-2930
Phone (858) 294-3865
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cornerstone Physical Therapy and Wellness Professional Corporation | Sports | Current | Accepting new patients |
| Candelario Chiropractic a Professional Corporation | Past | Accepting new patients |
Locations
265 E St
Ste A
Chula Vista, CA 91910
Phone (858) 249-3865
Organizations & group practices 2
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.
-
- Physical Therapist
- Chula Vista, CA
- NPI 1770157901
Sports
-
- Chiropractor
- Bonita, CA
- NPI 1225189905
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523318400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1523318400000",
"number": "1447757125",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5030 BONITA RD STE B",
"city": "BONITA",
"state": "CA",
"postal_code": "919021700",
"telephone_number": "619-479-7473",
"fax_number": "619-479-9376"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5030 BONITA RD STE B",
"city": "BONITA",
"state": "CA",
"postal_code": "919021700",
"telephone_number": "619-479-7473",
"fax_number": "619-479-9376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "ANTHONY",
"middle_name": "G",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-04-10",
"last_updated": "2018-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bonita, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.