DR. JACKSON CHIO TAN M.D., PH.D., P.T.
NPI 1649303934
Physical Medicine & Rehabilitation in Jacksonville, FL

Active since March 14, 2007Opted out of Medicare · through Jul 22, 2028
6144 GAZEBO PARK PL S STE 101, JACKSONVILLE, FL 32257(904) 260-3011(904) 260-3170 Get Directions Write a Review

NPPES record last updated: August 14, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 14, 2026, Nov 5, 2023, Jun 17, 2021 (3 updates tracked since 2021).

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

NPI1649303934
Entity TypeIndividualMale
Primary Taxonomy208100000X
Provider Legal NameDR. JACKSON CHIO TANCredential: M.D., PH.D., P.T.
Location Address6144 GAZEBO PARK PL S STE 101Jacksonville, FL 32257-1086
Mailing Address6144 Gazebo Park Pl S Ste 101Jacksonville, FL 32257-1086 · (904) 260-3011 · Fax (904) 260-3170
Fax(904) 260-3170
Sole ProprietorYes
Enumeration DateMarch 14, 2007
Last NPPES UpdateAugust 14, 20263 updates tracked since enumeration
NPPES CertifiedAugust 14, 2026
✔ NPI 1649303934 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & RehabilitationAllopathic & Osteopathic Physicians
Taxonomy Code208100000X
License✔ Licensed in FL · ME71587
Definition
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.
6144 GAZEBO PARK PL S STE 101, Jacksonville, FL 32257

Secondary Practice Locations 2

Location 11409 Kingsley Ave Bldg 3Orange Park, FL 32073-4537 · Phone (904) 260-3011 · Fax (904) 260-3170
Location 22425 Dunn Ave Ste 1Jacksonville, FL 32218-4603 · Phone (904) 714-2364 · Fax (904) 260-3170

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.

Opt-Out Effective DateJuly 22, 2026
Opt-Out In Effect ThroughJuly 22, 2028Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

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.

Physical Medicine & Rehabilitation
6144 GAZEBO PARK PL S STE 101
JACKSONVILLE, FL 32257
Massage Therapist
6144 GAZEBO PARK PL S STE 101
JACKSONVILLE, FL 32257
Licensed Practical Nurse
6144 GAZEBO PARK PL S STE 101
JACKSONVILLE, FL 32257
Physical Therapist
6144 GAZEBO PARK PL S STE 101
JACKSONVILLE, FL 32257
Physical Therapy Assistant
6144 GAZEBO PARK PL S STE 101
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.