SUR TAN DPT
NPI 1407718851
Physical Therapist - Orthopedic in Vancouver, WA

Q: What is Sur Tan's NPI number?

The NPI number for Sur Tan is 1407718851. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Q: What is Sur 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 Sur Tan was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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 November 24, 2025Accepts Medicare Assignment

3101 SE 192ND AVE, VANCOUVER, WA 98683(360) 729-8010(360) 729-8011 Get Directions Write a Review

NPPES record last updated: December 9, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 9, 2025, Nov 24, 2025 (2 updates tracked since 2025).

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About Sur Tan Dpt NPPES

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

SUR TAN DPT (NPI 1407718851) is an individual orthopedic provider in Vancouver, Washington, licensed in Washington (60385496) and active in the NPI registry since November 2025. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1407718851

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameSUR TANCredential: DPT

Location Address3101 SE 192ND AVEVancouver, WA 98683-1442

Mailing Address820 Nw Deerfern LoopCamas, WA 98607-8648 · (360) 241-6569

Phone(360) 729-8010

Fax(360) 729-8011

Sole ProprietorNo

Medical School CMSOtherGraduated 2013

Enumeration DateNovember 24, 2025

Last NPPES UpdateDecember 9, 20252 updates tracked since enumeration

NPPES CertifiedDecember 9, 2025

✔ NPI 1407718851 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 WA · 60385496

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.

3101 SE 192ND AVE, Vancouver, WA 98683

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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

Sur 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 ID9537654314

PECOS Enrollment IDI20251218003737

Other Providers at the Same Location NPPES 10

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

PROVIDENCE HEALTH & SERVICES - OREGON

Physical Therapist

3101 SE 192ND AVE, SUITE 104
VANCOUVER, WA 98683

Clark County (360) 553-7480

HEIDI KJOS MD

Family Medicine

3101 SE 192ND AVE, SUITE 106
VANCOUVER, WA 98683

Clark County (360) 729-8010

MR. J ROGER HAMILTON JR. PT

Physical Therapist

3101 SE 192ND AVE, SUITE 104
VANCOUVER, WA 98683

Clark County (360) 553-7480

SARAH LARSON

Nurse Practitioner (Family)

3101 SE 192ND AVE
VANCOUVER, WA 98683

Clark County (360) 729-8010

REBECCA ANN MADORE SLP

Speech-Language Pathologist

3101 SE 192ND AVE
VANCOUVER, WA 98683

Clark County (360) 729-8010

ALEXIS M GRIFFITHS PA

Physician Assistant

3101 SE 192ND AVE, SUITE 106
VANCOUVER, WA 98683

Clark County (360) 553-7400

PROVIDENCE HEALTH & SERVICES - OREGON

Family Medicine

3101 SE 192ND AVE, SUITE 106
VANCOUVER, WA 98683

Clark County (360) 553-7400

DR. KRISTIN BROOKE LEGRAND DO

Family Medicine

3101 SE 192ND AVE, STE 106
VANCOUVER, WA 98683

Clark County (360) 553-7400

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 Sur Tan's NPI number?

The NPI number for Sur Tan is 1407718851. It was assigned to this individual provider in the NPPES registry on November 24, 2025.

Where is Sur Tan located?

Sur Tan practices at 3101 SE 192nd Ave, Vancouver, WA 98683. The listed phone number is (360) 729-8010.

What is Sur Tan's specialty?

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

Is Sur Tan enrolled in Medicare?

Yes. Sur 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.

When was this NPI record last updated?

The NPPES record for Sur Tan was last updated on December 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.