MARIA CAMILLE VIKTORIA TAN PT
NPI 1720931546
Physical Therapist in Gardena, CA

Active since February 19, 2026Accepts Medicare Assignment
1045 W REDONDO BEACH BLVD STE 130, GARDENA, CA 90247(310) 329-1444 Get Directions Write a Review

NPPES record last updated: February 19, 2026. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Maria Camille Viktoria Tan Pt NPPES

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

MARIA CAMILLE VIKTORIA TAN PT (NPI 1720931546) is an individual physical therapist in Gardena, California, licensed in California (309803) and active in the NPI registry since February 2026. She is a graduate of Other (2017).

NPPES Registry Identity

NPI1720931546
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameMARIA CAMILLE VIKTORIA TANCredential: PT
Location Address1045 W REDONDO BEACH BLVD STE 130Gardena, CA 90247-4129
Mailing Address1045 W Redondo Beach Blvd Ste 130Gardena, CA 90247-4129 · (310) 329-1444
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateFebruary 19, 2026
NPPES CertifiedFebruary 19, 2026
✔ NPI 1720931546 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
License✔ Licensed in CA · 309803
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.
1045 W REDONDO BEACH BLVD STE 130, Gardena, CA 90247

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

Maria Camille Viktoria Tan Pt 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 ID1456824762
PECOS Enrollment IDI20260626002959

Medicare Billing Reassignment

Medicare enrollment records show Maria Camille Viktoria Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
Gardena, CA 90247
  • Reassigned Medicare billing, California enrollment
  • 6 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 90247 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
$96.36 typical visit price
range $62.96 – $187.60
Typical copayment $24.09 (range $15.74 – $46.90)
Most-billed visit code 99203
Established Patient
$77.96 typical visit price
range $20.84 – $153.61
Typical copayment $19.49 (range $5.21 – $38.40)
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 10

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

Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247
Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247
Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247
Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247
Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247
Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247
Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247
Physical Therapist
1045 W REDONDO BEACH BLVD STE 130
GARDENA, CA 90247

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 Maria Camille Viktoria Tan's NPI number?

The NPI number for Maria Camille Viktoria Tan is 1720931546. It was assigned to this individual provider in the NPPES registry on February 19, 2026.

Where is Maria Camille Viktoria Tan located?

Maria Camille Viktoria Tan practices at 1045 W Redondo Beach Blvd Ste 130, Gardena, CA 90247. The listed phone number is (310) 329-1444.

What is Maria Camille Viktoria Tan's specialty?

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

Is Maria Camille Viktoria Tan enrolled in Medicare?

Yes. Maria Camille Viktoria Tan 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 organization bills Medicare for Maria Camille Viktoria Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Camille Viktoria Tan reassigns Medicare benefits to Gardena Physical Therapy Inc (Gardena, CA). The 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 Maria Camille Viktoria Tan'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 Maria Camille Viktoria Tan was last updated on February 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.