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

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: November 01, 2026.

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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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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

Medicare Billing Reassignments

2

Medicare enrollment records show Jason Tan reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Joint Ventures Physical Therapy, Inc.
8.1 mi
Physical Therapy
660 BEACON ST
Boston, MA 02215
  • Reassigned Medicare billing, Massachusetts enrollment
  • 89 clinicians in this Medicare group
NPI 1083667901 (617) 536-1161
Silver Fern Practice, LLC
35 mi
Physical Therapist
4 RICHMOND SQ
Providence, RI 02906
  • Reassigned Medicare billing, Massachusetts enrollment
  • 235 clinicians in this Medicare group
NPI 1851472914 (401) 433-4172

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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)
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 489-6218
EMMA WINSLOW THACHER
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
STEPHANIE LEE DPT
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
ANDREW WYNSEN
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
HYUN SOO YEO L.AC
Acupuncturist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (213) 222-7481
PROMISE INTEGRATIVE MEDICINE CLINIC
Acupuncturist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (617) 536-1161
DR. SABRINA WOLFE DPT
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 772-2406
MEGHAN MCCONVILLE MONTANO MSPT
Physical Therapist
204 WORCESTER ST
WELLESLEY, MA 02481
Norfolk County (781) 237-1769

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

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.

Where is Jason Tan located?

Jason Tan practices at 204 Worcester St, Wellesley, MA 02481. The listed phone number is (781) 772-2406.

What is Jason Tan's specialty?

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

Is Jason Tan enrolled in Medicare?

Yes. Jason Tan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Jason Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jason Tan reassigns Medicare benefits to 2 organizations: Joint Ventures Physical Therapy, Inc. (Boston, MA) and Silver Fern Practice, LLC (Providence, RI). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jason Tan's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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 12 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.