Active NPI
Alexander Tan
- Physical Therapist
- Derwood, MD
National Provider Identifier
1710351028
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25796
- Practice address
- 7135 Mill Run Dr
Derwood, MD 20855-1208 - Phone
- (410) 491-4263
- NPI assigned
- Nov 24, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25796 | MD | Primary |
Addresses
Primary practice location
7135 Mill Run Dr
Derwood, MD 20855-1208
Mailing address
7135 Mill Run Dr
Derwood, MD 20855-1208
Phone (410) 491-4263
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
17348 Founders Mill Dr
Derwood, MD 20855-2506
Phone (301) 569-3158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Potomac Physical Therapy and Sports Medicine, LLC | Physical Therapist | Current | Accepting new patients |
| Uprise Physical Therapy and Performance | Physical Therapist | Current | Accepting new patients |
| First Physical Therapy Network, Inc | Physical Therapist | Past | Accepting new patients |
Locations
7811 Montrose Rd
Ste 350
Potomac, MD 20854
Phone (301) 213-5700
Organizations & group practices 3
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.
-
- Physical Therapist
- Baltimore, MD
- NPI 1053705632
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1448323200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1710351028",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7135 MILL RUN DR",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208551208",
"telephone_number": "410-491-4263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7135 MILL RUN DR",
"city": "DERWOOD",
"state": "MD",
"postal_code": "208551208",
"telephone_number": "410-491-4263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "ALEXANDER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-11-24",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derwood, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; 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.