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

Mardone Rivera Tan, PT

Individual provider Physical Therapist · NPI 1740306190

Mardone Rivera Tan, PT is a Physical Therapist in Ormond Beach, Florida. Licensed in Florida. Registered with an NPI since 2007.

Licensed in
FL
In the registry since
2007
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

350 S Ridgewood Ave
Ormond Beach, FL 32174-7028
Phone: (386) 677-4545
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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 PT 22587 (FL)

Record details

NPI number1740306190
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 21, 2007
Last updated in NPPESJuly 8, 2007
Mailing address503 Crowne Sunset Dr, Apt. 1323, Ormond Beach, FL 32174-0666

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