Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

DR. ELLIOTT DERONG TAN DPT
NPI 1780510180
Physical Therapist - Orthopedic in Park City, UT

Q: What is Elliott Tan's NPI number?

The NPI number for Elliott Tan is 1780510180. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Q: What is Elliott 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 Elliott Tan was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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 June 23, 2026

4554 FORESTDALE DR UNIT C16, PARK CITY, UT 84098(435) 494-1336 Get Directions Write a Review

NPPES record added: June 23, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Elliott Derong Tan Dpt NPPES

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

DR. ELLIOTT DERONG TAN DPT (NPI 1780510180) is an individual orthopedic provider in Park City, Utah, licensed in Utah (14288308-2401) and active in the NPI registry since June 2026.

NPPES Registry Identity

NPI1780510180

Entity TypeIndividualMale

Primary Taxonomy2251X0800X

Provider Legal NameDR. ELLIOTT DERONG TANCredential: DPT

Location Address4554 FORESTDALE DR UNIT C16Park City, UT 84098-1392

Mailing Address1448 S 600 ESalt Lake City, UT 84105-2052 · (206) 953-6096

Phone(435) 494-1336

Sole ProprietorNo

Enumeration DateJune 23, 2026

NPPES CertifiedJune 23, 2026

✔ NPI 1780510180 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 UT · 14288308-2401

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.

4554 FORESTDALE DR UNIT C16, Park City, UT 84098

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Other Providers at the Same Location NPPES 4

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

MOTION UT, LLC

Clinic/Center (Physical Therapy)

4554 FORESTDALE DR UNIT C16
PARK CITY, UT 84098

Summit County (603) 568-9461

MADELINE KATE EKINS PT, DPT, CSCS

Physical Therapist

4554 FORESTDALE DR UNIT C16
PARK CITY, UT 84098

Summit County (435) 494-1336

CARALYN BAXTER DPT

Physical Therapist

4554 FORESTDALE DR UNIT C16
PARK CITY, UT 84098

Summit County (603) 568-9461

JASON METTLACH DPT

Physical Therapist

4554 FORESTDALE DR UNIT C16
PARK CITY, UT 84098

Summit County (435) 494-1336

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 Elliott Tan's NPI number?

The NPI number for Elliott Tan is 1780510180. It was assigned to this individual provider in the NPPES registry on June 23, 2026.

Where is Elliott Tan located?

Elliott Tan practices at 4554 Forestdale Dr Unit C16, Park City, UT 84098. The listed phone number is (435) 494-1336.

What is Elliott Tan's specialty?

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

When was this NPI record last updated?

The NPPES record for Elliott Tan was last updated on June 23, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 60 days 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.