JONAH O. TAN (M.P.T., P.A.-C) – Orthopedic Physical Therapist, NPI 1477569010
Orthopedic Physical Therapist
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Profile Insights
NPPES metrics only — not quality of care.
10,564 PHYSICIAN ASSISTANT in CA
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Provider Addresses for JONAH O. TAN (M.P.T., P.A.-C)
Erringer Road, Simi Valley, Ventura County, California, 93065, United States
STE 109
SIMI VALLEY, CA 930656508
Phone: (805) 581-4266
Fax: (805) 581-5049
Type: Mailing
Burger Express Fresh Mexican Grill, 3200, East Los Angeles Avenue, Community Center, Simi Valley, Ventura County, California, 93065, United States
SUITE 20
SIMI VALLEY, CA 930653972
Phone: (805) 581-4266
Fax: (805) 581-5049
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 9 Open Payments records for all available years, with a total value of $1,553.
Total Amount is formed as General ($1,553) + Research ($0) + Ownership ($0) = $1,553.
Last reported payment date: 2024-10-02 • Largest payer in this snapshot: Stryker Corporation ($841).
Total Amount
$1,553
General + Research + Ownership
Payments
9
Total payment records
General Amount
$1,553
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-02
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Stryker Corporation | $841 |
| Teva Pharmaceuticals USA, Inc. | $245 |
| Innovation Technologies Inc | $178 |
| Regeneron Healthcare Solutions, Inc. | $114 |
| Davol Inc. | $90 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2011-09-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101102000083 | I | Physician Assistant | CA | TBD |
| I20110902000365 | I | Physical Therapist In Private Practice | CA | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 97110 | Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes | 1,440 | 49 | $0 |
| G0283 | Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care | 325 | 42 | $0 |
| 97161 | Evaluation for physical therapy, typically 20 minutes | 42 | 42 | $0 |
Insurance plans in this area (ZIP 93065)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICIAN ASSISTANT | CA | 97001 | Physical therapy evaluation | 78 | 77 |
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