IndividualActive
Jonathan Tang, CTRS
NPI 1750180899 · Recreation Therapist · Phoenix, AZ
Provider details
- NPI number
- 1750180899
- Entity type
- Individual
- Primary specialty
- Recreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- CTRS
- Sex
- Male
- Sole proprietor
- Yes
- License
- 60814
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Established profile(55/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
1 yr in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
650 E Indian School Rd
Community Living Center (clc)
Phoenix, AZ 85012
Phone: (602) 277-5551
Street-level locationGet directions
Mailing address
650 E Indian School Rd
Phoenix, AZ 85012-1839
Registry dates
- Enumerated
- 2025-03-11
- Last updated
- 2025-03-11
- Certified
- 2025-03-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.