Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CIARA GRACE MADERAZO TAN
ActiveCIARA GRACE MADERAZO TAN is a Physical Therapy Assistant healthcare provider located in PORT ST LUCIE, Florida. NPI 1528782158 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · PORT ST LUCIE, FL
Registration Details
- NPI Number
- 1528782158
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Sep 27, 2022 (3.8927465008318 yrs)
- Last Updated
- Mar 23, 2025
- Licenses
-
PT016488 (GA)PT42534 (FL)011731 (CT)
Practice Information
- Address
-
156 NW CALIFORNIA BLVDPORT ST LUCIE, FL, 349862492Browse FL providers · Browse ZIP 34986
- Phone
- 7728717170
- Fax
- 7728719330
- Primary Specialty
-
Physical Therapy Assistant
225100000X
- Additional Specialty
- Physical Therapy Assistant
- Additional Specialty
- Physical Therapy Assistant
Other Physical Therapy Assistant Providers in PORT ST LUCIE, FL
| Name | Credential | NPI |
|---|---|---|
| MR. KEITH RYAN MADONIA | PT | 1740239250 |
| MR. ERIC M WELLING | MPT | 1528000312 |
| SANDRA DAVILA | — | 1902835291 |
| MAUREEN KENNEDY | — | 1124137781 |
| ELIZABETH A OREO | MPT | 1528149192 |
| ROBIN M DEETS | PT | 1316028905 |
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.