Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Liza Tan, PT, DPT, MA

Individual provider Physical Therapist · NPI 1982628764

Liza Tan, PT, DPT, MA is registered under Physical Therapist in Private Practice in Ridgewood, New York. Qualified in 2010, 16 years ago. Practices with Fresh Pond Physical Therapy Greenpoint, PC, a 4-clinician group. Licensed in New York.

Years since qualifying
16
Licensed in
NY
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.
MA — Master of Arts
A graduate arts degree.

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Practice location Address checks out

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200 Not confirmed with CMS for 13 years — call before visiting
Phone: (718) 456-2545
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 015401 (NY)

Record details

NPI number1982628764
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT , MA
Sole proprietorNo
NPI enumeratedJuly 26, 2006
Last updated in NPPESSeptember 9, 2013

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Fresh Pond Physical Therapy Greenpoint, P.C. — 4 clinicians
Accepts Medicare assignment Not indicated
Practice locations11 on file with Medicare

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