Krista Shalee Loomis Tan, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

26407 Issued in CA

Practice address

31248 Oak Crest Dr Ste 120
Westlake Village, CA 91361-5673

Phone

(818) 926-9057

NPI assigned

Feb 12, 2020

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Krista Shalee Loomis Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• A Plus Care LLC

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1912485707

  Single Specialty

  Medicare reassignment NPD
• Feld Care Therapy Inc

  • Physical Therapist
  • Tampa, FL
  • NPI 1134075864
  NPD (past)

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581465600000",
    "number": "1861024366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7215 W 83RD ST",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900452518",
            "telephone_number": "310-665-0908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31248 OAK CREST DR STE 120",
            "city": "WESTLAKE VILLAGE",
            "state": "CA",
            "postal_code": "913615673",
            "telephone_number": "818-926-9057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "KRISTA SHALEE",
        "middle_name": "LOOMIS",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-02-12",
        "certification_date": "2020-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "26407",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISTA",
            "last_name": "LOOMIS",
            "middle_name": "SHALEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Talk Works, Inc.
• Megan Talmo, M.S.
• Samantha Tamburro, PSY.D.
• Eric Tamsut
• Kevin James Tan
• Nesha Tandon, PHD, LMFT
• Renuka Ati Tanna, PSY.D
• Tansavatdi Cosmetic & Reconstructive Surgery Inc
• Kristina Tansavatdi, M.D.
• Andrea Tapia

• Physical Therapist in Westlake Village, CA
• Providers in Westlake Village, 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 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.