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

Liza Tan, PT, DPT, MA

Individual provider Physical Therapist · NPI 1982628764

Liza Tan, PT, DPT, MA is a 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.

See every abbreviation used in this directory →

Practice location Address checks out

6805 Fresh Pond Rd
Ridgewood, NY 11385-5200
Phone: (718) 456-2545
Show map & directions

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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