Individual provider Active NPI

Daniel Glenn Tiano, DPT

  • Physical Therapist
  • Canyon Country, CA
National Provider Identifier
1881202166
Registry record updated Jun 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT298434 Issued in CA
Practice address
30030 Sunridge PL
Canyon Country, CA 91387-1500
Phone
(661) 414-2522
NPI assigned
Jul 22, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2021

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 PT298434 CA Primary

Addresses

Primary practice location

30030 Sunridge PL
Canyon Country, CA 91387-1500

Mailing address

30030 Sunridge PL
Canyon Country, CA 91387-1500
Phone (661) 414-2522

Other practice location 1

1495 Victor Ave Ste D
Redding, CA 96003-4093
Phone (530) 221-8090

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Feld Care Therapy Inc Physical Therapist Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1595376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623542400000",
    "number": "1881202166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30030 SUNRIDGE PL",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871500",
            "telephone_number": "661-414-2522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30030 SUNRIDGE PL",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913871500",
            "telephone_number": "661-414-2522"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1495 Victor Ave Ste D",
            "address_purpose": "LOCATION",
            "city": "Redding",
            "state": "CA",
            "postal_code": "960034093",
            "country_code": "US",
            "telephone_number": "530-221-8090",
            "fax_number": "530-221-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIANO",
        "first_name": "DANIEL",
        "middle_name": "GLENN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-22",
        "last_updated": "2021-06-13",
        "certification_date": "2021-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT298434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canyon Country, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2021; 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.