Clint A Tan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501009959 Issued in MI

Practice address

9301 Charter Oaks Dr
Davison, MI 48423-3390

Phone

(989) 400-6999

NPI assigned

Jul 25, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• A-One Physical Therapy and Sports Injury, Inc.

  • Physical Therapy Clinic/Center
  • Lapeer, MI
  • NPI 1396848180

  Physical Therapist

  NPD (past)
• Total Rehabilitation, P.C.

  • Physical Therapist
  • Flint, MI
  • NPI 1871788489
  NPD (past)

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

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1187049600000",
    "number": "1639369796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9301 CHARTER OAKS DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233390",
            "telephone_number": "989-400-6999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9301 CHARTER OAKS DR",
            "city": "DAVISON",
            "state": "MI",
            "postal_code": "484233390",
            "telephone_number": "989-400-6999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CLINT",
        "middle_name": "A",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501009959",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MI",
            "license": "5501009959",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "MI",
            "license": "5501009959",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SVS Vision Inc
• Jason Stuart Swan, D.C.
• Stuart Edward Swan
• Shelly Swayze
• James E Szumowicz
• April Marie Tatarsky
• Gregory Taylor
• Kristen Tebbutt, MS OTR/L
• Bethany Michaela-Clark Tecson, MOT, OTR/L
• Nicole Marie Tefft, LMT

• Physical Therapist in Davison, MI
• Providers in Davison, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2007; 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.