Mardone Rivera Tan, PT
Mardone Rivera Tan is a Physical Therapist provider (Physical Therapist) practicing in Ormond Beach, FL, registered in the NPPES registry with NPI 1740306190 since 2007. The credential PT stands for Physical Therapist. Practices at Bridgeview Center, LLC (listed at the same practice address in NPPES).
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1740306190 |
|---|---|
| Entity type | Individual (Type 1) |
| Name | Mardone Rivera Tan |
| Credential | PT |
| Sex | Male |
| Practice address | 350 S RIDGEWOOD AVE, Ormond Beach, FL, 32174 |
| Phone | 3866774545 |
| Enumeration date | 2007-03-21 |
| Last updated in NPPES | 2007-07-08 |
Taxonomy & licenses
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 225100000X | Physical Therapist | Primary | PT 22587 | FL |
PT — Physical Therapist: A licensed movement specialist treating injury and disability through exercise and rehabilitation. About the PT credential
Copy-ready billing details
Provider: Mardone Tan, PT NPI: 1740306190 Taxonomy: 225100000X (Physical Therapist) Address: 350 S RIDGEWOOD AVE, Ormond Beach, FL, 32174
Other providers at this practice address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821086091 | Bridgeview Center, LLC | Organization | Skilled Nursing Facility | Ormond Beach, FL |
| 1972628428 | Evelyn Gonzalez | Individual | Physical Therapy Assistant | Ormond Beach, FL |
| 1962527382 | Jana Vazquez | Individual | Occupational Therapy Assistant | Ormond Beach, FL |
| 1740305176 | James Dessoye | Individual | Speech-Language Pathologist | Ormond Beach, FL |
| 1376669705 | Pamela Brodeur | Individual | Occupational Therapy Assistant | Ormond Beach, FL |
| 1205951613 | Crispin Danlag | Individual | Physical Therapist | Ormond Beach, FL |
| 1336266709 | Thea Marie Dimacali | Individual | Occupational Therapist | Ormond Beach, FL |
| 1386762862 | Stacyann Sanders | Individual | Occupational Therapy Assistant | Ormond Beach, FL |
Verify this record
Cross-check NPI 1740306190 against the authoritative CMS record: view Mardone Rivera Tan on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
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Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2007-07-08.