Active NPI
Desiree F Tan, PT
- Physical Therapist
- Ocala, FL
National Provider Identifier
1982129466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32506
- Practice address
- 1202 SW 17TH St # 209229
Ocala, FL 34471-1271 - Phone
- (352) 639-3378
- NPI assigned
- Aug 7, 2017
- 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 | PT32506 | FL | Primary |
Addresses
Primary practice location
1202 SW 17TH St # 209229
Ocala, FL 34471-1271
Mailing address
1202 SW 17TH St # 209229
Ocala, FL 34471-1271
Phone (352) 639-3378
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32506 | FL | MD | Physical Therapist |
Practice roles (1 of 2)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida First Care, Inc. | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
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.
-
- Home Health Agency
- Orange Park, FL
- NPI 1215220421
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1502064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1982129466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 SW 17TH ST # 209229",
"city": "OCALA",
"state": "FL",
"postal_code": "344711271",
"telephone_number": "352-639-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 SW 17TH ST # 209229",
"city": "OCALA",
"state": "FL",
"postal_code": "344711271",
"telephone_number": "352-639-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TAN",
"first_name": "DESIREE",
"middle_name": "F",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-07",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32506",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ocala, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.