Individual provider Active NPI

Janet Songalia Tan, PT

  • Physical Therapist
  • Edinburg, TX
National Provider Identifier
1780763169
Registry record updated Jun 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1099810 Issued in TX
Practice address
5225 S McColl Rd
Edinburg, TX 78539-7861
Phone
(956) 627-2142
Fax
(956) 627-2301
NPI assigned
Nov 4, 2006
Last updated
Jun 10, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1099810 TX Primary

Addresses

Primary practice location

5225 S McColl Rd
Edinburg, TX 78539-7861

Mailing address

5225 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 627-2142

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070302000156 TX Practitioner - Physical Therapist in Private Practice 7810099223 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Evolutions Therapy, LLCGroup PAC ID 1254414188, 2 clinicians

Practice addresses (Care Compare)

5225 S McColl Rd
Edinburg, TX 78539-7861
Phone (956) 627-2142

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1099810TXMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Evolutions Therapy LLC CurrentSince Dec 3, 2007 Accepting new patients

Locations

5225 S McColl Rd
Edinburg, TX 78539
Phone (956) 627-2142

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1162598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402358400000",
    "number": "1780763169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5225 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-627-2142",
            "fax_number": "956-627-2301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5225 S MCCOLL RD",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785397861",
            "telephone_number": "956-627-2142",
            "fax_number": "956-627-2301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "JANET",
        "middle_name": "SONGALIA",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-04",
        "last_updated": "2014-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1099810",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Edinburg, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2014; 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.