SEVERINO M TAN (NPI# 1336632298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336632298 |
| Entity Type | Individual |
| Full Name | SEVERINO M TAN |
| Credential | DPT |
| Practice Address |
1675 Ne Loop 286 Paris TX 75460-2219 |
| Mailing Address |
235 33rd St Sw Paris TX 75460-5369 |
| Practice Telephone | 9037829922 |
| Practice Fax Number | 9039004222 |
| Mailing Telephone | 9035176248 |
| Mailing Fax Number | 9039004222 |
| Enumeration Date | 2018-06-14 |
| Last Update Date | 2018-06-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
1073997 | TX | Ambulatory Health Care Facilities |
| Street Address |
1675 NE LOOP 286 |
| City | PARIS |
| State | TX |
| Zip Code | 75460-2219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265533939 | Carrie G Hogue | Physical Therapist | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2006-09-26 |
| 1003455601 | Brice Winter | Specialist/Technologist | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2019-12-30 |
| 1457912099 | Charity Belcher | Physical Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2019-06-25 |
| 1003375700 | Haley Leann Michael | Occupational Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2019-03-13 |
| 1023573433 | Michael Hunter Westbrook | Physical Therapist | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2019-02-11 |
| 1598247983 | Lacy Penwell | Physical Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2018-08-31 |
| 1235610890 | Bradley Shawn Lancaster | Physical Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2018-08-22 |
| 1932689031 | Tyler Dennis Michael | Physical Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2018-08-17 |
| 1730668302 | Scott Walton | Physical Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2018-08-14 |
| 1154801793 | Janae Ramy Graham | Physical Therapy Assistant | 1675 Ne Loop 286, Paris, TX 75460-2219 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518574409 | Patrick Hayden Tomlinson | Pharmacist | 707 Lamar Ave Suite A, Paris, TX 75460 | 2020-09-25 |
| 1053938530 | King Vision of Tyler LLC | Hospice Care, Community Based | 2555 Ruby Way 8102, Paris, TX 75460 | 2020-06-30 |
| 1376013946 | Kristi Marie Holden | In Home Supportive Care | 1320 27th Ne, Paris, TX 75460 | 2018-11-27 |
| 1316422629 | Md Consultative Services, LLC | Family Medicine | 3310 Lamar Avenue, Suite A, Paris, TX 75460 | 2018-10-02 |
| 1386123941 | Luz Elena Luna | Licensed Vocational Nurse | 11245 15 St Se, Paris, TX 75460 | 2018-08-14 |
| 1255821369 | Paris Speech Pathology Clinic, Pllc | Speech-Language Pathologist | 2404 Lamar Ave, Paris, TX 75460 | 2018-05-14 |
| 1083127054 | Conway Counseling, LLC | Counselor | 2654 Lamar Ave., 1, Paris, TX 75460 | 2017-11-13 |
| 1851803373 | Paris Wellness Center & Medical Spa | Family Medicine | 1122 E. Austin St., Paris, TX 75460 | 2017-10-25 |
| 1053863357 | Medprime Health Services LLC | Pharmacy | 3310 Lamar Ave Ste B, Paris, TX 75460 | 2016-11-03 |
| 1386098523 | Nikki Goodale | Occupational Therapist | 2710 E Price St, Paris, TX 75460 | 2016-04-13 |
| Find all providers in zip 75460 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699918375 | Orthoworks Therapy, LLC | Clinic/Center | 1006 Cornerstone Dr, Suite A, Paris, TN 38242-5862 | 2009-04-11 |
| 1851319511 | Apex Physical Therapy, LLC. | Clinic/Center | 2277 S Main St, Paris, IL 61944-2963 | 2006-07-18 |
| 1699316620 | Hensley Physical Therapy, LLC | Clinic/Center | 3195 Lamar Ave, Paris, TX 75460 | 2019-10-01 |
| 1316314347 | Rebound Sports & Physical Therapy of Paris LLC | Clinic/Center | 3166 Clarksville St, Paris, TX 75460-8015 | 2015-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073114609 | Grace Physical Therapy and Wellness | Clinic/Center | 2218 Ridgedale Dr, Arlington, TX 76013-5423 | 2020-11-02 |
| 1992306419 | Victory Wellness Pllc | Clinic/Center | 7209 Fair Valley Way, Plano, TX 75024-3487 | 2020-11-02 |
| 1639770100 | Modern Physical Therapy | Clinic/Center | 5151 Katy Fwy Ste 209, Houston, TX 77007-2260 | 2020-11-02 |
| 1477154011 | Innovative Occupational Therapy | Clinic/Center | 1100 Lake Carolyn Pkwy, Irving, TX 75039-4701 | 2020-11-02 |
| 1760082390 | Optimal Physical Therapy & Pain Relief | Clinic/Center | 3400 Mcmillen Rd Apt 7305, Wylie, TX 75098-7729 | 2020-11-01 |
| 1750981502 | Parikshit Jayant Davda | Clinic/Center | 1620 Magbolia Street, Liberty, TX 77575 | 2020-10-30 |
| 1841898137 | Pineywoods Physical Therapy LLC | Clinic/Center | 1400 West 6th Street, Suite 6 and 7, Rusk, TX 75785 | 2020-10-09 |
| 1457958225 | Majestic Rehabilitation and Wellnes Inc | Clinic/Center | 11199 Pellicano Dr Ste A, El Paso, TX 79935-5304 | 2020-10-05 |
| 1053928093 | Aleya Wellness Pllc | Clinic/Center | 2528 Rusty Spur, Leander, TX 78641-8797 | 2020-09-24 |
| 1679189351 | Omega Sport Physical Therapy and Performance LLC | Clinic/Center | 5432 Holly Rd, Corpus Christi, TX 78411-4635 | 2020-09-18 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.