Carol Lynn Say Tan

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

033667 Issued in NY

Practice address

61 Broadway Suite 2824
New York, NY 10006

Phone

(212) 981-1977

NPI assigned

Jul 20, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Interfysio, LLC.

  • Case Management Agency
  • New York, NY
  • NPI 1790929016
  NPD (past)

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

{
    "created_epoch": "1342742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1740535103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 BROADWAY SUITE 2824",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 BROADWAY SUITE 2824",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10006",
            "telephone_number": "212-981-1977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "CAROL LYNN",
        "middle_name": "SAY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-07-20",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "033667",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NEW YORK STATE PHYSICAL THERAPY LICENSE",
            "identifier": "033667",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Angela Tan
• Angelita Tan
• Ashley Tan
• Caleb Tan, MD
• Carlyn Rose Co Tan, M.D.
• Caroline Anne Powao Tan, PTA, PT, DPT
• Carrie Tan, PHARMD
• Cheryl Tan, LCSW, PHD
• Chun Han Nigel Tan, MD
• Chyne Tan, MD

• Physical Therapist in New York, NY
• Providers in New York, 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 Sep 9, 2013; 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.