Liza Tan, PT, DPT, MA

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

015401 Issued in NY

Practice address

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200

Phone

(718) 456-2545

NPI assigned

Jul 26, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Fresh Pond Physical Therapy Greenpoint, P.C.Group PAC ID 7214152701, 4 clinicians

Fresh Pond Physical Therapy PCGroup PAC ID 4486605342, 12 clinicians

Fresh Pond Physical Therapy Astoria PCGroup PAC ID 6406089952, 2 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

87.87 of 100Reported as group

Quality

88.31

Improvement activities

40

Cost

69.4

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Arts

State licenses

Practice roles

Locations

Networks

• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H3359

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.

• Fresh Pond Physical Therapy Astoria, P.C.

  • Physical Therapist
  • Astoria, NY
  • NPI 1477819084
  Medicare reassignment Care Compare group NPD Authorized official
• Fresh Pond Physical Therapy Greenpoint, P.C

  • Physical Therapist
  • Ridgewood, NY
  • NPI 1356608509
  Medicare reassignment Care Compare group NPD Authorized official
• Fresh Pond Physical Therapy, P.C

  • Physical Therapy Clinic/Center
  • Ridgewood, NY
  • NPI 1508844036
  Medicare reassignment Care Compare group
• New York Luna Care Physical Therapy PLLC

  • Physical Therapist
  • Pearl River, NY
  • NPI 1194314062
  Medicare reassignment NPD
• Steinway Physical Therapy PC

  • Physical Therapy Clinic/Center
  • Astoria, NY
  • NPI 1093316242
  Medicare reassignment
• Bay Physical Therapy, PC

  • Physical Therapist
  • Brooklyn, NY
  • NPI 1235100587
  NPD (past)
• Bienetre Medical PC

  dba Zaya Care

  • Physical Therapist
  • New York, NY
  • NPI 1568037257
  NPD (past)
• Ocean Bay Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Brooklyn, NY
  • NPI 1831382597

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1378684800000",
    "number": "1982628764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6805 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855200",
            "telephone_number": "718-456-2545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6805 FRESH POND RD",
            "city": "RIDGEWOOD",
            "state": "NY",
            "postal_code": "113855200",
            "telephone_number": "718-456-2545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAN",
        "first_name": "LIZA",
        "credential": "PT, DPT, MA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2013-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "015401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02184710",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Barbara Sztukowski
• Danielle Valerie Albeos Tabel-Casio, PT
• Sherin Tadros
• Medhat Kamal Tadrous
• Alvaro Tamayo Gutierrez, M.D.
• Vito Frank Taverna, M.D.
• Phillip Austin Taylor
• Chanel Viviana Tazza, LMHC
• Stela Teferici, MD
• Rachel Michelle Teichman

• Physical Therapist in Ridgewood, NY
• Providers in Ridgewood, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.