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

Individual provider Physical Therapist · NPI 1780328096

Tawny Chan, DPT is a Physical Therapist in Private Practice in Corona, California. Qualified in 2021, 5 years ago. Practices with Bodybasics Physical Therapy Inc, a 15-clinician group and accepts Medicare assignment. Licensed in Arkansas and California.

Years since qualifying
5
Licensed in
AR, CA
In the registry since
2022
Specialties on file
3
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1280 Corona Pointe Ct Ste 118
Corona, CA 92879-1770
Phone: (951) 340-3402
Fax: (951) 340-3416
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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 302085 (CA)
Physical Therapist Taxonomy 225100000X · Licence PT4984 (AR)
Pediatric Physical Therapist Taxonomy 2251P0200X · Licence PT4984 (AR)

Record details

NPI number1780328096
Entity typeIndividual (Type 1)
GenderFemale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 22, 2022
Last updated in NPPESNovember 20, 2022
Certification dateNovember 20, 2022
Mailing address600 Central Ave Ste C, Lake Elsinore, CA 92530-2740

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bodybasics Physical Therapy Inc — 15 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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