Individual provider Active NPI

Tam Thu Tran, PA-C

  • Physician Assistant
  • Atlantis, FL
National Provider Identifier
1679025571
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9109814
Practice address
180 JFK Dr Ste 100
Atlantis, FL 33462-6641
Phone
(561) 967-5000
NPI assigned
Oct 27, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9109814 Primary

Addresses

Primary practice location

180 JFK Dr Ste 100
Atlantis, FL 33462-6641

Mailing address

180 John F Kennedy Dr Ste 100
Atlantis, FL 33462-6641
Phone (561) 967-6500

Other practice location 1

1221 S State Road 7 Ste 200
Wellington, FL 33414-6204
Phone (561) 967-6500 ext. 1324

Other practice location 2

10275 Hagen Ranch Rd Ste 200
Boynton Beach, FL 33437-3784
Phone (561) 967-6500 ext. 1324

Other practice location 3

1905 Clint Moore Rd Ste 214
Boca Raton, FL 33496-2660
Phone (561) 241-8668

Other practice location 4

4705 N Federal Hwy
Boca Raton, FL 33431-5135
Phone (561) 220-2622 ext. 1324

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170128000235 FL Practitioner - Physician Assistant 7315229242 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Hand and Orthopaedic Center PAGroup PAC ID 5991875247, 9 clinicians
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians

Practice addresses (Care Compare)

1905 Clint Moore Rd
Suite 105
Boca Raton, FL 33496-2659
Phone (561) 241-4758

3848 Fau Blvd
Suite 305
Boca Raton, FL 33431-6437
Phone (561) 241-4758

7015 Beracasa Way
Cora Physical Therapy W Boca Raton
Boca Raton, FL 33433-3453
Phone (561) 939-2033

Hospital & facility affiliations

  • Bethesda Hospital East Hospital, Boynton Beach, FL, CCN 100002
  • Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
South Florida Hand and Orthopaedic Center PA CurrentSince Dec 1, 2025 Accepting new patients
Orthopedic Center of Palm Beach County CurrentSince Aug 5, 2024 Accepting new patients
Orthopaedic Surgery Associates, PA CurrentSince Mar 27, 2017 Accepting new patients
Orthopedic Center of Palm Beach County, LLC CurrentSince Aug 5, 2024 Accepting new patients
Orthopedic Center of Palm Beach County, LLC Past Accepting new patients

Locations

4705 N Federal Hwy
Boca Raton, FL 33431
Phone (561) 220-2622

1905 Clint Moore Rd
Ste 214
Boca Raton, FL 33496
Phone (561) 241-8668

1905 Clint Moore Rd
Ste 105
Boca Raton, FL 33496
Phone (561) 241-4758

10275 Hagen Ranch Rd
Ste 200
Boynton Beach, FL 33437
Phone 5619676500 ext. 1324

2815 S Seacrest Blvd
Boynton Beach, FL 33435
Phone (561) 732-1277

2623 S Seacrest Blvd
Ste 210
Boynton Beach, FL 33435
Phone (561) 736-9699

1221 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 697-6500

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1477526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1679025571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 JOHN F KENNEDY DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-6500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 JFK DR STE 100",
            "city": "ATLANTIS",
            "state": "FL",
            "postal_code": "334626641",
            "telephone_number": "561-967-5000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1221 S State Road 7 Ste 200",
            "address_purpose": "LOCATION",
            "city": "Wellington",
            "state": "FL",
            "postal_code": "334146204",
            "country_code": "US",
            "telephone_number": "561-967-6500 x1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "10275 Hagen Ranch Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Boynton Beach",
            "state": "FL",
            "postal_code": "334373784",
            "country_code": "US",
            "telephone_number": "561-967-6500 x1324",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1905 Clint Moore Rd Ste 214",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334962660",
            "country_code": "US",
            "telephone_number": "561-241-8668",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4705 N Federal Hwy",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334315135",
            "country_code": "US",
            "telephone_number": "561-220-2622 x1324",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRAN",
        "first_name": "TAM",
        "middle_name": "THU",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-27",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": "PA9109814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlantis, FL

Sources for this page

Verify at the official NPI Registry.