Provider Demographics
NPI:1912153180
Name:TAPANGAN, JONAS SAQUILAYAN (PT)
Entity type:Individual
Prefix:MR
First Name:JONAS
Middle Name:SAQUILAYAN
Last Name:TAPANGAN
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24 HEAVRIN CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2981
Mailing Address - Country:US
Mailing Address - Phone:410-240-7989
Mailing Address - Fax:
Practice Address - Street 1:728B BACK RIVER NECK RD
Practice Address - Street 2:
Practice Address - City:ESSEX
Practice Address - State:MD
Practice Address - Zip Code:21221-1918
Practice Address - Country:US
Practice Address - Phone:443-739-6410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-07
Last Update Date:2025-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18854225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist