LIZA TAN PT, DPT, MA
NPI 1982628764
Physical Therapist in Ridgewood, NY
About Liza Tan Pt, Dpt, Ma NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIZA TAN PT, DPT, MA (NPI 1982628764) is an individual physical therapist in Ridgewood, New York, licensed in New York (015401) and active in the NPI registry since July 2006. She is a graduate of Other (2010).
NPPES Registry Identity
Specialties & Licenses
- 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.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Liza Tan Pt, Dpt, Ma is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
6Medicare enrollment records show Liza Tan reassigns Medicare billing to 6 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Ridgewood, NY 11385
- Reassigned Medicare billing, New York enrollment
- 8 clinicians in this Medicare group
Ridgewood, NY 11385
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Fresh Pond Physical Therapy PC
- 34 clinicians in this Medicare group
Astoria, NY 11103
- Reassigned Medicare billing, New York enrollment
- Medicare enrollment name: Fresh Pond Physical Therapy Astoria PC
- 3 clinicians in this Medicare group
Astoria, NY 11103
- Reassigned Medicare billing, New York enrollment
- 3 clinicians in this Medicare group
New York, NY 10013
- Reassigned Medicare billing, New York enrollment
- 364 clinicians in this Medicare group
Pearl River, NY 10965
- Reassigned Medicare billing, New York enrollment
- 276 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.
Areas of Expertise CMS Part B claims 7
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 19
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Liza Tan's NPI number?
The NPI number for Liza Tan is 1982628764. It was assigned to this individual provider in the NPPES registry on July 26, 2006.
Where is Liza Tan located?
Liza Tan practices at 6805 Fresh Pond Rd, Ridgewood, NY 11385. The listed phone number is (718) 456-2545.
What is Liza Tan's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Liza Tan enrolled in Medicare?
Yes. Liza Tan is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Liza Tan's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Liza Tan reassigns Medicare benefits to 6 organizations: Fresh Pond Physical Therapy Greenpoint, P.C (Ridgewood, NY), Fresh Pond Physical Therapy, P.C (Ridgewood, NY), Fresh Pond Physical Therapy Astoria, P.C. (Astoria, NY), Steinway Physical Therapy PC (Astoria, NY), Bienetre Medical PC (New York, NY) and 1 more organization, listed in the Medicare section above. 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 Liza 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 Liza Tan was last updated on September 9, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Liza Tan, PT, DPT, MA · NPI 1982628764
Physical Therapist provider in Ridgewood, New York. Individual provider, active in the CMS NPPES registry since July 26, 2006.
## Identity
- **NPI:** 1982628764 (Entity type: Individual)
- **Enumerated:** July 26, 2006
- **Primary specialty:** Physical Therapist · taxonomy 225100000X
- **State license:** 015401 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 6805 FRESH POND RD, Ridgewood, NY 11385-5200
- **Phone:** (718) 456-2545
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** 6 organizations under Medicare reassignment (form CMS-855R): Fresh Pond Physical Therapy Greenpoint, P.C (NPI 1356608509, Ridgewood, NY); Fresh Pond Physical Therapy, P.C (NPI 1508844036, Ridgewood, NY); Fresh Pond Physical Therapy Astoria, P.C. (NPI 1477819084, Astoria, NY); Steinway Physical Therapy PC (NPI 1093316242, Astoria, NY); Bienetre Medical PC (NPI 1568037257, New York, NY); and 1 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2010
## Record status
- **NPPES last updated:** September 9, 2013
- **Other identifiers:** Medicaid 02184710 (NY)
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Source: [NPI Profile](https://npiprofile.com/npi/1982628764) · Data from the CMS NPPES public registry.