Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Ciara Grace Maderazo Tan

Individual provider Physical Therapist · NPI 1528782158

Ciara Grace Maderazo Tan is a Physical Therapist in Private Practice in Port St Lucie, Florida. Qualified in 2019, 7 years ago. Practices with Inhometherapy Inc, a 19-clinician group and accepts Medicare assignment. Licensed in Connecticut, Florida and Georgia.

Years since qualifying
7
Licensed in
CT, FL, GA
In the registry since
2022
Specialties on file
3
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Practice location Address checks out

156 NW California Blvd
Port St Lucie, FL 34986-2492
Phone: (772) 871-7170
Fax: (772) 871-9330
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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 PT42534 (FL)
Physical Therapist Taxonomy 225100000X · Licence PT016488 (GA)
Physical Therapist Taxonomy 225100000X · Licence 011731 (CT)

Record details

NPI number1528782158
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedSeptember 27, 2022
Last updated in NPPESMarch 23, 2025
Certification dateMarch 23, 2025
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Group practice Inhometherapy Inc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Port St Lucie