Individual provider Active NPI

John Michael Lim Tamaray, P.T.

  • Physical Therapist
  • Fletcher, NC
National Provider Identifier
1790227643
Registry record updated Jan 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT292242 Issued in CA
Practice address
212 Riverbirch Drive
Fletcher, NC 28732
Phone
(828) 273-2912
NPI assigned
Nov 9, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT292242 CA Primary
Physical Therapist 225100000X P7198 NC

Addresses

Primary practice location

212 Riverbirch Drive
Fletcher, NC 28732

Mailing address

1390 Market St Apt 2206
San Francisco, CA 94102-5315
Phone (828) 273-2912

Other names 1

  • Mr. John Michael Tamaray Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT292242CAMDPhysical Therapist
P7198NCMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1478649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580169600000",
    "number": "1790227643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 MARKET ST APT 2206",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941025315",
            "telephone_number": "828-273-2912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "212 RIVERBIRCH DRIVE",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "28732",
            "telephone_number": "828-273-2912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAMARAY",
        "first_name": "JOHN MICHAEL",
        "middle_name": "LIM",
        "name_prefix": "Mr.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-09",
        "last_updated": "2020-01-28",
        "certification_date": "2020-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292242",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P7198",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOHN",
            "last_name": "TAMARAY",
            "middle_name": "MICHAEL",
            "prefix": "MR.",
            "credential": "P.T.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fletcher, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 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.