JASON TAN DPT
NPI 1023786019
Physical Therapist - Orthopedic in Wellesley, MA

Q: What is Jason Tan's NPI number?

The NPI number for Jason Tan is 1023786019. It was assigned to this individual provider in the NPPES registry on September 2, 2021.

Q: What is Jason Tan's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Q: When was this NPI record last updated?

The NPPES record for Jason Tan was last updated on October 16, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 02, 2021Accepts Medicare Assignment

204 WORCESTER ST, WELLESLEY, MA 02481(781) 772-2406(844) 912-8608 Get Directions Write a Review

NPPES record last updated: October 16, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Jason Tan Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JASON TAN DPT (NPI 1023786019) is an individual orthopedic provider in Wellesley, Massachusetts, licensed in Massachusetts (25756) and active in the NPI registry since September 2021. He is a graduate of Other (2021).

NPPES Registry Identity

NPI1023786019

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameJASON TANCredential: DPT

Location Address204 WORCESTER STWellesley, MA 02481-5473

Mailing Address4 Richmond SqProvidence, RI 02906-5117 · (401) 433-4172 · Fax (401) 433-0612

Phone(781) 772-2406

Fax(844) 912-8608

Sole ProprietorNo

Medical School CMSOtherGraduated 2021

Enumeration DateSeptember 2, 2021

Last NPPES UpdateOctober 16, 2025

NPPES CertifiedOctober 16, 2025

✔ NPI 1023786019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251X0800X

License✔ Licensed in MA · 25756

Definition

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 practice.

204 WORCESTER ST, Wellesley, MA 02481

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jason Tan Dpt is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4082010483

PECOS Enrollment IDI20210910000629

Other Providers at the Same Location NPPES 12

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PLASTIC RECONSTRUCTIVE & COSMETIC SURGERY PC

Surgery (Plastic and Reconstructive Surgery)