KIM GEPANA TAN P.T.
NPI 1982028478
Community Health Worker in Delray Beach, FL

Active since February 05, 2014
5241 JOG LN, DELRAY BEACH, FL 33484(561) 496-7993 Get Directions Write a Review

NPPES record last updated: February 5, 2014. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Kim Gepana Tan P.t. NPPES

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

KIM GEPANA TAN P.T. (NPI 1982028478) is an individual community health worker in Delray Beach, Florida, licensed in Illinois (070.019410) and active in the NPI registry since February 2014.

NPPES Registry Identity

NPI1982028478
Entity TypeIndividualMale
Primary Taxonomy172V00000X
Provider Legal NameKIM GEPANA TANCredential: P.T.
Location Address5241 JOG LNDelray Beach, FL 33484-6652
Mailing Address5241 Jog LaneDelray Beach, FL 33484
Sole ProprietorYes
Enumeration DateFebruary 5, 2014
✔ NPI 1982028478 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Health WorkerOther Service Providers
Taxonomy Code172V00000X
License✔ Licensed in IL · 070.019410
Definition
Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, promotores(as), outreach educators, community health representatives, peer health promoters, and peer health educators. CHWs offer interpretation and translation services, provide culturally appropriate health education and information, assist people in receiving the care they need, give informal counseling and guidance on health behaviors, advocate for individual and community health needs, and provide some direct services such as first aid and blood pressure screening. Some examples of these practitioners are Community Health Aides or Practitioners established under 25 USC 1616 (l) under HHS, Indian Health Service, Public Health Service.
5241 JOG LN, Delray Beach, FL 33484

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kim Gepana Tan P.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

Medicare enrollment records show Kim Tan reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
363 GRANELLO AVE
Coral Gables, FL 33146
  • Reassigned Medicare billing, Florida enrollment
  • 248 clinicians in this Medicare group

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 5

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

Physical Therapist
5241 JOG LN
DELRAY BEACH, FL 33484
Physical Therapist
5241 JOG LN
DELRAY BEACH, FL 33484
Physical Therapist
5241 JOG LN
DELRAY BEACH, FL 33484
Specialist
5241 JOG LN
DELRAY BEACH, FL 33484
Physical Therapist
5241 JOG LN
DELRAY BEACH, FL 33484

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 Kim Tan's NPI number?

The NPI number for Kim Tan is 1982028478. It was assigned to this individual provider in the NPPES registry on February 5, 2014.

Where is Kim Tan located?

Kim Tan practices at 5241 Jog Ln, Delray Beach, FL 33484. The listed phone number is (561) 496-7993.

What is Kim Tan's specialty?

The primary specialty registered for this NPI is Community Health Worker with taxonomy code 172V00000X.

Is Kim Tan enrolled in Medicare?

Yes. Kim Tan is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Kim Tan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kim Tan reassigns Medicare benefits to Healthpro Heritage Rehab & Fitness, LLC (Coral Gables, FL). The 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 Kim 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 Kim Tan was last updated on February 5, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years 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.