Individual provider · Type 1 NPI

Ivan Tam, DPT

Physical Therapist · Nanuet, NY

NPI number 1104581248 Active

Practice location

412 Market St
Nanuet, NY 10954-2744

Mailing address

1831 Shore Pkwy
Brooklyn, NY 11214-6619

Specialties and licenses

TaxonomyCodeLicense
Physical Therapist 225100000X40QA02326900 (NJ)
Physical Therapist 225100000X26504 (MA)
Physical Therapist Primary 225100000X047376 (NY)

Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…

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About NPI 1104581248

Ivan Tam, DPT's National Provider Identifier is 1104581248, issued on Nov 3, 2021. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Nanuet, NY. The record was last updated on Sep 26, 2025.