Individual provider · Type 1 NPI
Elliott Derong Tan, DPT
Orthopedic Physical Therapist · Park City, UT
Practice location
4554 Forestdale Dr Unit C16
Park City, UT 84098-1392
Mailing address
1448 S 600 E
Salt Lake City, UT 84105-2052
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 14288308-2401 (UT) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
4 other providers at this address
Other orthopedic physical therapist providers in Park City
- Sierra Chapman, PT, DPTOrthopedic Physical Therapist Park City, UT NPI 1356124242
- Elaine A. Larson, DPTOrthopedic Physical Therapist Park City, UT NPI 1538342472
- Michelle Nicole Ruckel, DPTOrthopedic Physical Therapist Park City, UT NPI 1538616230
- Patrick Porter, PT, DPTOrthopedic Physical Therapist Park City, UT NPI 1982083176
About NPI 1780510180
Elliott Derong Tan, DPT's National Provider Identifier is 1780510180, issued on Jun 23, 2026. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Park City, UT. The record was last updated on Jun 23, 2026.