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

Nicole Pineda Tan, PTA

Individual provider Physical Therapy Assistant · NPI 1225543119

Nicole Pineda Tan, PTA is a Physical Therapy Assistant in Anaheim, California. Works from 2 locations. Licensed in California.

Licensed in
CA
In the registry since
2017
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1101 S Anaheim Blvd
Anaheim, CA 92805-5811
Phone: (714) 929-1750
Fax: (714) 937-1966
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 2023 Otterbein Ave, Rowland Heights, CA 91748-3950 — (626) 251-0315

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence PTA49028 (CA)

Record details

NPI number1225543119
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorNo
NPI enumeratedDecember 13, 2017
Last updated in NPPESMarch 17, 2018

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