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NPI Code Detail

MEDICARE: KATHERINE TANJI PT

MEDICARE: KATHERINE TANJI PT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical TherapistP23899NC
2225100000XPhysical TherapistCP054390TGA

General Provider Information

NPI Number : 1528864436
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE TANJI PT
Provider Business Mailing Address
First Line : 1200 CORPORATE DR STE 400
Second Line :
City : HOOVER
State : AL
Zip : 35242-5424
Country : US
Telephone Number : 423-497-0005
Fax Number :
Provider Business Practice Location Address
First Line : 11201 GALLERIA AVE STE 105
Second Line :
City : RALEIGH
State : NC
Zip : 27614-6699
Country : US
Telephone Number : 919-670-3350
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2025
Last Update Date : 03/19/2026

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