Active NPI
Gilbert Tam, DPT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1538813712
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11751
- Practice address
- 2362 Two Notch Road
Columbia, SC 29204 - Phone
- (803) 799-7007
- Fax
- (803) 256-8410
- NPI assigned
- Feb 7, 2022
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT38318 | FL | |
| Physical Therapist | 225100000X | 11751 | SC | Primary |
Addresses
Primary practice location
2362 Two Notch Road
Columbia, SC 29204
Mailing address
7182 Woodrow Street
Suite 102
Irmo, SC 29063
Phone (803) 749-0808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
7182 Woodrow St
Suite 102
Irmo, SC 29063-2958
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 11751 | SC | MD | Surgery Physician |
| PT38318 | FL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tao of Physical Therapy LLC | Current | Accepting new patients |
Organizations & group practices 1
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 Therapy Clinic/Center
- Columbia, SC
- NPI 1336010362
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1644192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1697500800000",
"number": "1538813712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7182 WOODROW STREET",
"address_2": "SUITE 102",
"city": "IRMO",
"state": "SC",
"postal_code": "29063",
"telephone_number": "803-749-0808",
"fax_number": "803-749-0308"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2362 TWO NOTCH ROAD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "29204",
"telephone_number": "803-799-7007",
"fax_number": "803-256-8410"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAM",
"first_name": "GILBERT",
"name_prefix": "Mr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-02-07",
"last_updated": "2023-10-17",
"certification_date": "2022-02-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT38318",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "11751",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.