DR. JACKSON CHIO TAN M.D., PH.D., P.T.
NPI 1649303934
Physical Medicine & Rehabilitation in Jacksonville, FL
About Dr. Jackson Chio Tan M.d., Ph.d., P.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JACKSON CHIO TAN M.D., PH.D., P.T. (NPI 1649303934) is an individual physical medicine & rehabilitation provider in Jacksonville, Florida, licensed in Florida (ME71587) and active in the NPI registry since March 2007. He has opted out of Medicare through July 22, 2028 and remains eligible to order and refer and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Locations 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Dr. Jackson Chio Tan M.d., Ph.d., P.t. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from July 22, 2026 through July 22, 2028.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
JACKSONVILLE, FL 32257
JACKSONVILLE, FL 32257
JACKSONVILLE, FL 32257
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 Jackson Tan's NPI number?
The NPI number for Jackson Tan is 1649303934. It was assigned to this individual provider in the NPPES registry on March 14, 2007.
Where is Jackson Tan located?
Jackson Tan practices at 6144 Gazebo Park Pl S Ste 101, Jacksonville, FL 32257. The listed phone number is (904) 260-3011.
What is Jackson Tan's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Jackson Tan enrolled in Medicare?
No. Jackson Tan has opted out of Medicare through July 22, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
When was this NPI record last updated?
The NPPES record for Jackson Tan was last updated on August 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.