Edwin Joshua Tizon Jr., DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296322 Issued in CA

Practice address

1601 Kettner Blvd Unit 11
San Diego, CA 92101-2539

Phone

(619) 544-1056

NPI assigned

Feb 5, 2019

Last updated

Feb 7, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Adams Physical Therapy

  • Physical Therapist
  • San Diego, CA
  • NPI 1114970050
  NPD (past)

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

{
    "created_epoch": "1549324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549497600000",
    "number": "1841755709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 KETTNER BLVD UNIT 11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012539",
            "telephone_number": "619-544-1056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 KETTNER BLVD UNIT 11",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921012539",
            "telephone_number": "619-544-1056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIZON",
        "first_name": "EDWIN",
        "middle_name": "JOSHUA",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-05",
        "last_updated": "2019-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296322",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alfredo B. Tiu, D.O.
• John Ian N Tiu
• Josefina Delapena Tiu, LVN
• Rebecca Tiu, CRNA
• Binita Tiwari, OTR/L
• Alan Tjalas
• Kimberly Tjantra
• Shania Isabelle Tjipto
• Victoria Tjok, PHARMD
• Alexandra Tkatch

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2019; 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.