Individual provider Active NPI

Grace Tang, D.P.T.

  • Orthopedic Physical Therapist
  • Morrisville, NC
National Provider Identifier
1720127277
Registry record updated Jan 19, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
12089 Issued in NC
Practice address
6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560-8144
Phone
(919) 467-4558
NPI assigned
Feb 5, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 024812 NY
Orthopedic Physical Therapist 2251X0800X 12089 NC Primary

Addresses

Primary practice location

6406 McCrimmon Pkwy
Suite 250
Morrisville, NC 27560-8144

Mailing address

5103 Grace Park Dr
Morrisville, NC 27560-6002
Phone (919) 535-8907

Other names 1

  • Eun Hah Lee Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090520000543 NC Practitioner - Physical Therapist in Private Practice 7517016645 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

5103 Grace Park Dr
Morrisville, NC 27560-6002
Phone (919) 467-4558

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12089NCMDPharmacist
024812NYMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive Physical Therapy & Fitness, Inc. Orthopedic CurrentSince Nov 26, 2010 Accepting new patients
Emerson & Anghie LLC Orthopedic Past Accepting new patients

Locations

5103 Grace Park Dr
Morrisville, NC 27560
Phone (919) 467-4558

6406 McCrimmon Pkwy
Ste 250
Morrisville, NC 27560
Phone (919) 467-4558

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484784000000",
    "number": "1720127277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5103 GRACE PARK DR",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275606002",
            "telephone_number": "919-535-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6406 MCCRIMMON PKWY",
            "address_2": "SUITE 250",
            "city": "MORRISVILLE",
            "state": "NC",
            "postal_code": "275608144",
            "telephone_number": "919-467-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANG",
        "first_name": "GRACE",
        "name_prefix": "Mrs.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2017-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NY",
            "license": "024812",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "12089",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EUN",
            "last_name": "LEE",
            "middle_name": "HAH",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Morrisville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2017; 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.