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

Edwin C Tamayo Jr., PT

Individual provider Physical Therapist · NPI 1306347901

Edwin C Tamayo Jr., PT is a Physical Therapist in Grosse Pointe Woods, Michigan. Licensed in Michigan. Registered with an NPI since 2018.

Licensed in
MI
In the registry since
2018
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

21401 Mack Ave
Grosse Pointe Woods, MI 48236-1048
Phone: (586) 778-0800
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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 5501012086 (MI)

Record details

NPI number1306347901
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 28, 2018
Last updated in NPPESApril 12, 2019
Mailing address21401 Mack Ave, Grosse Pointe Woods, MI 48236-1048

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