JONAH O. TAN M.P.T. P.A.-C NPI 1477569010

NPI Information

  • NPI: 1477569010
  • Provider Name: JONAH O. TAN, M.P.T., P.A.-C
  • Classification: Physical Therapist - 2251X0800X
  • Specialization: Orthopedic
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 3200 E LOS ANGELES AVE
    SUITE 20
    SIMI VALLEY, CA
    ZIP 93065
  • Phone: (805) 581-4266

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NPI Details

Jonah O. Tan, M.P.T., P.A.-C is an orthopedic physical therapist in Simi Valley, CA with 23 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Jonah O. Tan, M.P.T., P.A.-C NPI is 1477569010. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3200 E LOS ANGELES AVE
SUITE 20
SIMI VALLEY, CA
ZIP 93065-972
Phone: (805) 581-4266
Fax: (805) 581-5049

The NPI 1477569010 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care (HCPCS:G0283)
  • Evaluation for physical therapy, typically 20 minutes (HCPCS:97161)
  • Knee replacement (HCPCS:NAN06)

The enumeration date for this NPI number is 8/1/2006 and was last updated on 11/30/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1363A00000XPhysician AssistantPA16970CALIFORNIANo
22251X0800XPhysical TherapistOrthopedicPT24912CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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