Roberto Cachuela Tianzon Jr.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015341 Issued in NY

Practice address

11 Tallow LN
Levittown, NY 11756-4023

Phone

(516) 551-2981

NPI assigned

Jul 21, 2009

Sex

Male

Sole proprietor

Yes

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 NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Esd PT OT and SLP PLLCGroup PAC ID 5991044125, 77 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359
• Healthfirst Medicare Network H9678

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.

• Esd PT OT & SLP PLLC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1003383308
  Medicare reassignment Care Compare group NPD
• South Shore Physical Therapy, Occupational Therapy & Speech Language

  • Physical Therapist
  • Center Moriches, NY
  • NPI 1740657709
  NPD (past)

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

{
    "created_epoch": "1248134400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248134400000",
    "number": "1689804858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 TALLOW LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564023",
            "telephone_number": "516-551-2981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 TALLOW LN",
            "city": "LEVITTOWN",
            "state": "NY",
            "postal_code": "117564023",
            "telephone_number": "516-551-2981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIANZON",
        "first_name": "ROBERTO",
        "middle_name": "CACHUELA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-07-21",
        "last_updated": "2009-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015341",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronald Tauber, DMD
• The Elija School
• Jordyn Thomas
• Pamela H. Thomas
• Tanika N Thomas, RBT
• Nicole Tivoli, MASTERS
• Kerri Anne Tobin
• Total Hearing Care LLC
• Samantha Joyce Triani, LMSW
• Mary Truelson, REGISTERED NURSE

• Physical Therapist in Levittown, NY
• Providers in Levittown, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2009; 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.