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

Maria Camille Viktoria Tan, PT

Individual provider Physical Therapist · NPI 1720931546

Maria Camille Viktoria Tan, PT is a Physical Therapist in Private Practice in Gardena, California. Qualified in 2017, 9 years ago. Licensed in California.

Years since qualifying
9
Licensed in
CA
In the registry since
2026
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

1045 W Redondo Beach Blvd Ste 130
Gardena, CA 90247-4129
Phone: (310) 329-1444
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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 309803 (CA)

Record details

NPI number1720931546
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 19, 2026
Last updated in NPPESFebruary 19, 2026
Certification dateFebruary 19, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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