Active NPI
Debbie Kathrina Tan Tan, PHYSICAL THERAPIST
- Physical Therapist
- Richboro, PA
National Provider Identifier
1952704660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT021092
- Practice address
- 253 Twining Ford Rd
Richboro, PA 18954-1843 - Phone
- (215) 357-2032
- NPI assigned
- Oct 8, 2014
- Last updated
- Oct 8, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT021092 | PA | Primary |
Addresses
Primary practice location
253 Twining Ford Rd
Richboro, PA 18954-1843
Mailing address
330 Jacksonville Rd
4-318
Warminster, PA 18974-6400
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT021092 | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1412726400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1952704660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 JACKSONVILLE RD",
"address_2": "4-318",
"city": "WARMINSTER",
"state": "PA",
"postal_code": "189746400"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "253 TWINING FORD RD",
"city": "RICHBORO",
"state": "PA",
"postal_code": "189541843",
"telephone_number": "215-357-2032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "DEBBIE KATHRINA",
"middle_name": "TAN",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-10-08",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT021092",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Richboro, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.