DR. IVAN TAM DPT
NPI 1104581248
Physical Therapist in Nanuet, NY

Active since November 03, 2021Accepts Medicare Assignment
412 MARKET ST, NANUET, NY 10954(718) 552-7267 Get Directions Write a Review

NPPES record last updated: September 26, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Nov 16, 2022, Nov 3, 2021 (2 updates tracked since 2021).

About Dr. Ivan Tam Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. IVAN TAM DPT (NPI 1104581248) is an individual physical therapist in Nanuet, New York, licensed in New York (047376) and active in the NPI registry since November 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1104581248
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameDR. IVAN TAMCredential: DPT
Location Address412 MARKET STNanuet, NY 10954-2744
Mailing Address1831 Shore PkwyBrooklyn, NY 11214-6619 · (718) 552-7267
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateNovember 3, 2021
Last NPPES UpdateSeptember 26, 20252 updates tracked since enumeration
NPPES CertifiedSeptember 26, 2025
✔ NPI 1104581248 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in NY · 047376✔ Licensed in NJ · 40QA02326900✔ Licensed in MA · 26504
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
412 MARKET ST, Nanuet, NY 10954

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Ivan Tam Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID547639718
PECOS Enrollment IDI20251023001452, I20260113000032

Medicare Billing Reassignments

4

Medicare enrollment records show Ivan Tam reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapist
550 MAMARONECK AVE, SUITE 104
Harrison, NY 10528
  • Reassigned Medicare billing, New York enrollment
  • 335 clinicians in this Medicare group
Physical Therapy
265 FRANKLIN AVE
Nutley, NJ 07110
  • Reassigned Medicare billing, New Jersey enrollment
  • 49 clinicians in this Medicare group
Physical Therapist
79 HUDSON ST
Hoboken, NJ 07030
  • Reassigned Medicare billing, New Jersey enrollment
  • 846 clinicians in this Medicare group
Physical Therapy
75 SPRINGFIELD RD, SUITE 9, 2ND FLOOR
Westfield, MA 01085
  • Reassigned Medicare billing, Massachusetts enrollment
  • Medicare enrollment name: Dg Physical Therapy PC
  • 67 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10954 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapist
412 MARKET ST
NANUET, NY 10954
Physical Therapist
412 MARKET ST
NANUET, NY 10954
Physical Therapist
412 MARKET ST
NANUET, NY 10954
Physical Therapist
412 MARKET ST
NANUET, NY 10954

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ivan Tam's NPI number?

The NPI number for Ivan Tam is 1104581248. It was assigned to this individual provider in the NPPES registry on November 3, 2021.

Where is Ivan Tam located?

Ivan Tam practices at 412 Market St, Nanuet, NY 10954. The listed phone number is (718) 552-7267.

What is Ivan Tam's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Ivan Tam enrolled in Medicare?

Yes. Ivan Tam is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Ivan Tam's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Tam reassigns Medicare benefits to 4 organizations: Ivyrehab Physical Therapy, Occupational Therapy & Speech Language Path (Harrison, NY), Pro Staff Physical Therapy PC (Nutley, NJ), Ivyrehab Network Inc. (Hoboken, NJ) and Dg Physical Therapy, P.C. (Westfield, MA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ivan Tam's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ivan Tam was last updated on September 26, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.