Charles Yu Tan, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11233 Issued in AZ

Practice address

1076 W Chandler Blvd
Ste 103
Chandler, AZ 85224-5225

Phone

(480) 821-1997

Fax

(480) 821-1887

NPI assigned

Jan 26, 2015

Last updated

Jan 26, 2015By 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 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Phoenix Mountain Therapy LLCGroup PAC ID 0648797944, 7 clinicians

Montecito Outpatient Rehabilitation LLCGroup PAC ID 3971008426, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Montecito Outpatient Rehabilitation LLC

  dba Montecito Outpatient Rehabilitation

  • Rehabilitation Clinic/Center
  • Mesa, AZ
  • NPI 1578459673

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Phoenix Mountain Therapy LLC

  dba Phoenix Mountain Therapy

  • Physical Therapist
  • Scottsdale, AZ
  • NPI 1053122689
  Medicare reassignment Care Compare group NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Scottsdale, AZ
  • NPI 1144954074

  Physical Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation, LLC

  • Multi-Specialty Clinic/Center
  • Williamsburg, VA
  • NPI 1881366730

  Physical Therapist

  NPD

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

{
    "created_epoch": "1422230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1422230400000",
    "number": "1548650823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD",
            "address_2": "STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245225",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-1887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1076 W CHANDLER BLVD",
            "address_2": "STE 103",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852245225",
            "telephone_number": "480-821-1997",
            "fax_number": "480-821-1887"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CHARLES",
        "middle_name": "YU",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-26",
        "last_updated": "2015-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "11233",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yvonne A Tambe -Ebot, NP
• Gael E Tambe Ebot
• Larry S Tamburro, MD
• Cristina Elizabeth Tamez, M.D.
• Jane Goodman Tammik, BCBA
• Jackie Tan, PHARMD
• Chris L Tang, PT CHT
• Elena Tang, LCSW
• Eugene Tang, DPT
• Linh Tran Tang, MSN, APRN, FNP-C

• Physical Therapist in Chandler, AZ
• Providers in Chandler, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2015; 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.