Ivan Tam, DPT
NPI 1104581248ActiveIndividual· Physical Therapist· Nanuet, NY
Physical Therapist (DPT) with Ivyrehab Network Inc and 1 other group, practicing in Nanuet, New York. Medicare paid $1,389 for services to 14 patients in 2024.
Overview
| NPI | 1104581248 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT |
| Sole proprietor | No |
| NPI issued | Nov 3, 2021 |
| Last updated in NPPES | Sep 26, 2025 |
| Certified by provider | Sep 26, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 047376 | NY |
| Physical Therapist | 225100000X | 40QA02326900 | NJ |
| Physical Therapist | 225100000X | 26504 | MA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MA); Practitioner - Physical Therapist in Private Practice (NJ); Practitioner - Physical Therapist in Private Practice (NY) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 14 |
|---|---|
| Services billed | 62 across 9 procedure codes |
| Paid by Medicare | $1,389 |
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical groups
- Ivyrehab Network IncVineland, NJ · 656 clinicians
- Ivyrehab Physical Therapy, Occupational Therapy and Speech Language PAJoliet, IL · 376 clinicians
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All 30 physical therapists in Nanuet · All physical therapists in New York