Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JEDIDIAH LAGOS TAN, RPT, DPT
DeactivatedJEDIDIAH LAGOS TAN, RPT, DPT is a Physical Therapy Assistant healthcare provider located in PEARLAND, Texas. NPI 1114506110 is deactivated in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PEARLAND, TX
This NPI has been deactivated.
The record was deactivated on March 19, 2022.
Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated.
Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.
Registration Details
- NPI Number
- 1114506110
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Apr 6, 2021 (0.95068493150685 yrs)
- Last Updated
- Jul 29, 2022
- Deactivated
- Mar 19, 2022
- License
-
1342184 (TX)
Practice Information
- Address
-
4102 VETERANS DRPEARLAND, TX, 775842950Browse TX providers · Browse ZIP 77584
- Phone
- 8323790668
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in PEARLAND, TX
| Name | Credential | NPI |
|---|---|---|
| ANDRE WARRICK YAPTANGCO | P.T. | 1750336517 |
| STEPHANIE ALLISON WASKO | PT | 1386680544 |
| KATHERINE LEIGH SPURGERS | P.T | 1760412001 |
| AMY HUDAK | PT | 1932119518 |
| MR. RAANAN LEVY | PT | 1871603761 |
| BRENDA SHOEMAKER | PT | 1194821439 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.