Individual provider Active NPI

Virginia Fui Phing Tan, PT

  • Physical Therapist
  • Salt Lake City, UT
National Provider Identifier
1598912198
Registry record updated Aug 26, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
05004755A Issued in IN
Practice address
6440 South Milrock Dr
Ste 175
Salt Lake City, UT 84121-3600
Phone
(866) 724-8555
Fax
(866) 588-1518
NPI assigned
Aug 26, 2008
Last updated
Aug 26, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 05004755A IN Primary

Addresses

Primary practice location

6440 South Milrock Dr
Ste 175
Salt Lake City, UT 84121-3600

Mailing address

6440 South Milrock Dr
Ste 175
Salt Lake City, UT 84121-3600
Phone (866) 724-8555

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
05004755AINMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1219708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219708800000",
    "number": "1598912198",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6440 SOUTH MILROCK DR",
            "address_2": "STE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213600",
            "telephone_number": "866-724-8555",
            "fax_number": "866-588-1518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6440 SOUTH MILROCK DR",
            "address_2": "STE 175",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841213600",
            "telephone_number": "866-724-8555",
            "fax_number": "866-588-1518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "VIRGINIA",
        "middle_name": "FUI PHING",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-26",
        "last_updated": "2008-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "05004755A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2008; 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.