NPIMap

Organization Active NPI

Tanas Physical Therapy

  • Specialist
  • Cary, NC
National Provider Identifier
1780669762
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
2825 Issued in NC
Legal business name
TANAS PHYSICAL THERAPY
Practice address
105 Baines CT
Cary, NC 27511-6625
Phone
(919) 380-0964
Fax
(919) 380-8121
NPI assigned
Dec 13, 2005
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Ms. Nabila S Tanas, PTNPI 1255446779
Title
President
Phone
(919) 380-0964

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 2825 NC Primary

Addresses

Primary practice location

105 Baines CT
Cary, NC 27511-6625

Mailing address

105 Baines CT
Cary, NC 27511-6625
Phone (919) 380-0964

Other identifiers 4

IdentifierTypeStateIssuer
2352174OtherNCAETNA HMO ID #
8953730MedicaidNC
01576OtherNCBLUE CROSS BLUE SHIELD ID
5662666OtherNCAETNA ID#

National Provider Directory

National Provider Directory

Locations

100 Ridge View Dr
Ste 102
Cary, NC 27511
Phone (919) 380-0964

105 Baines Ct
Cary, NC 27511
Phone (919) 380-0964

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780669762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 BAINES CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116625",
            "telephone_number": "919-380-0964",
            "fax_number": "919-380-8121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 BAINES CT",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275116625",
            "telephone_number": "919-380-0964",
            "fax_number": "919-380-8121"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TANAS PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TANAS",
        "authorized_official_first_name": "NABILA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-380-0964",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "NC",
            "license": "2825",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA HMO ID #",
            "identifier": "2352174",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8953730",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD ID",
            "identifier": "01576",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID#",
            "identifier": "5662666",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.