Trupti Rajendra Tanna, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

19523 Issued in MA

Practice address

15 Parkman St
Wang Ambulatory Care Center, Room 128,
Boston, MA 02114-3117

Phone

(508) 654-7197

NPI assigned

Jul 8, 2006

Last updated

Oct 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

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.

• United Rehab Services, P.C.

  • Physical Therapist
  • Detroit, MI
  • NPI 1295740611
  NPD (past)
• United Rehab Services, P.C.

  • Physical Therapy Clinic/Center
  • Clarkston, MI
  • NPI 1568495083

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320019200000",
    "number": "1922031459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WANG AMBULATORY CARE CENTER, ROOM 128,",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "508-654-7197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARKMAN ST",
            "address_2": "WANG AMBULATORY CARE CENTER, ROOM 128,",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021143117",
            "telephone_number": "508-654-7197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNA",
        "first_name": "TRUPTI",
        "middle_name": "RAJENDRA",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2011-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501012025",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19523",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shyam Kumar Tanguturi, M.D.
• Varsha Keelara Tanguturi, M.D.
• Karen S Tanklow, MSW
• Joan Tankou
• Theanchai - Tanlamai, O.D.
• Elizabeth N Tannebring, MSN, CPNP
• Sarah Tannenbaum, PSY.D.
• Erika Cottrell Tanner, LCSW
• Chadi Tannoury, M.D.
• Esther Tannoury, M.D.

• Physical Therapist in Boston, MA
• Providers in Boston, MA by specialty
• Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; 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.