Active NPIIndividual providerSole proprietor

Miranda Tan, OTR/L

Occupational Therapist in Farmingdale, New Jersey

NPI Number1730959826
Practice location
200 Central Ave, Farmingdale, NJ 07727-3788
Fax
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Last updated
January 8, 2024

Miranda Tan is an Occupational Therapist based in Farmingdale, NJ. Miranda Tan practices in Farmingdale, NJ and has the professional credentials of OTR/L. The NPI Number for Miranda Tan is 1730959826 and holds a License No. OC019563 (PA). The current practice location address for Miranda Tan is 200 Central Ave, Farmingdale, NJ 07727-3788 and can be reached out via phone at 215-839-6144.

Provider Profile Details

NPI Number
1730959826
Provider Name
Miranda Tan
Credential
OTR/L
Provider Entity Type
Individual
Gender
Female
Address
200 Central Ave, Farmingdale, NJ 07727-3788
Phone Number
215-839-6144
Primary Taxonomy
Occupational Therapist · 225X00000X
Sole Proprietor
Yes
Provider Enumeration Date
January 8, 2024
Last Update Date
January 8, 2024
Certification Date
January 8, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
200 Central Ave
Farmingdale, NJ 07727-3788
Zip
07727-3788
Phone Number
215-839-6144
Farmingdale, NJ 07727Get directions →

Provider Business Mailing Address Details

Address
9220 Horatio RD
Philadelphia, PA 19114-3809
City
Philadelphia
State
PA
Zip
19114-3809
Phone Number
267-670-3798

License Information

License Number
OC019563
License State
PA
Taxonomy
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Miranda Tan, OTR/L?

The NPI number of Miranda Tan, OTR/L is 1730959826. It was assigned on January 8, 2024 and is currently active in the NPPES registry.

What is the specialty of Miranda Tan, OTR/L?

Miranda Tan, OTR/L is registered under the primary taxonomy Occupational Therapist (code 225X00000X), licensed in PA under license number OC019563.

Where does Miranda Tan, OTR/L practice?

The practice location is 200 Central Ave, Farmingdale, NJ 07727-3788. The office can be reached at 215-839-6144 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1730959826 directly on the NPPES registry website.

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