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

Miranda Tan, OTR/L

Individual provider Occupational Therapist · NPI 1730959826

Miranda Tan, OTR/L is an Occupational Therapist in Private Practice in Farmingdale, New Jersey. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Pennsylvania.

Years since qualifying
3
Licensed in
PA
In the registry since
2024
What do these letters mean?
OTR/L — Occupational Therapist, Registered and Licensed
An occupational therapist who is both nationally registered and state licensed.

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Practice location Address checks out

200 Central Ave
Farmingdale, NJ 07727-3788
Phone: (215) 839-6144
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OC019563 (PA)

Record details

NPI number1730959826
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR/L
Sole proprietorYes
NPI enumeratedJanuary 8, 2024
Last updated in NPPESJanuary 8, 2024
Certification dateJanuary 8, 2024

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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