Individual provider · Type 1 NPI

Elliott Derong Tan, DPT

Orthopedic Physical Therapist · Park City, UT

NPI number 1780510180 Active

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

TaxonomyCodeLicense
Orthopedic Physical Therapist Primary 2251X0800X14288308-2401 (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

See all in Park City →

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.