Liza Tan, PT, DPT, MA - Medicare Physical Therapist in Ridgewood, NY

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Liza Tan, PT, DPT, MA is a medicare enrolled "Physical Therapist" provider in Ridgewood, New York. She graduated from medical school in 2010 and has 14 years of diverse experience with area of expertise as Physical Therapy. She is a member of the group practice New York Luna Care Physical Therapy Pllc, Fresh Pond Physical Therapy, P.c., Fresh Pond Physical Therapy Greenpoint, P.c. and her current practice location is 6805 Fresh Pond Rd, Ridgewood, New York. You can reach out to her office (for appointments etc.) via phone at (718) 456-2545.

Liza Tan is licensed to practice in New York (license number 015401) and she also participates in the medicare program. She may accept medicare assignments (which means she may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance) and her NPI Number is 1982628764.

Contact Information

Liza Tan, PT, DPT, MA
6805 Fresh Pond Rd,
Ridgewood, NY 11385-5200
(718) 456-2545
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameLiza Tan
GenderFemale
SpecialityPhysical Therapy
Experience14 Years
Location6805 Fresh Pond Rd, Ridgewood, New York
Accepts Medicare AssignmentsMay be. She may accept the Medicare-approved amount; you may be billed for more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Liza Tan graduated from medical school in 2010
  NPI Data:
  • NPI Number: 1982628764
  • Provider Enumeration Date: 07/26/2006
  • Last Update Date: 09/09/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 3779542303
  • Enrollment ID: I20041007000747

Medical Identifiers

Medical identifiers for Liza Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1982628764NPI-NPPES
02184710MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 015401 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
New York Luna Care Physical Therapy Pllc0840604666116
Fresh Pond Physical Therapy, P.c.44866053427
Fresh Pond Physical Therapy Greenpoint, P.c.72141527012

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Liza Tan allows following entities to bill medicare on her behalf.
Provider NameFresh Pond Physical Therapy, P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1508844036
PECOS PAC ID: 4486605342
Enrollment ID: O20050208000670
Provider NameFresh Pond Physical Therapy Astoria Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1477819084
PECOS PAC ID: 6406089952
Enrollment ID: O20140507001622
Provider NameFresh Pond Physical Therapy Greenpoint, P.c.
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1356608509
PECOS PAC ID: 7214152701
Enrollment ID: O20140625000373
Provider NameNew York Luna Care Physical Therapy Pllc
Provider TypePart B Supplier - Clinic/group Practice
Provider IdentifiersNPI Number: 1194314062
PECOS PAC ID: 0840604666
Enrollment ID: O20210205001168
Provider NameSteinway Physical Therapy Pc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI Number: 1093316242
PECOS PAC ID: 8921495813
Enrollment ID: O20220422001876

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Liza Tan is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Liza Tan, PT, DPT, MA
6805 Fresh Pond Rd,
Ridgewood, NY 11385-5200

Ph: (718) 456-2545		Liza Tan, PT, DPT, MA
6805 Fresh Pond Rd,
Ridgewood, NY 11385-5200

Ph: (718) 456-2545

Reviews and Comments


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Ruchi Modi,
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Practice Location: 6805 Fresh Pond Rd, Ridgewood, NY 11385
Phone: 718-456-2545    Fax: 718-559-6784
Mrs. Elenita Bautista Oliver, P.T.
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Phone: 718-386-3124    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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