Dr Elliott Derong Tan, DPT - Physical Therapist in Park City, UT

Dr Elliott Derong Tan, DPT is a Physical Therapist - Orthopedic based in Park City, Utah. Dr Elliott Derong Tan is licensed to practice in Utah (license number 14288308-2401) and his current practice location is 4554 Forestdale Dr Unit C16, Park City, Utah. He can be reached at his office (for appointments etc.) via phone at (435) 494-1336.

NPI number for Dr Elliott Derong Tan is 1780510180 and his current mailing address is 1448 S 600 E, Salt Lake City, Utah. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1780510180.

Contact Information

Dr Elliott Derong Tan, DPT
4554 Forestdale Dr Unit C16,
Park City, UT 84098-1392
(435) 494-1336
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameDr Elliott Derong Tan
GenderMale
SpecialityPhysical Therapist - Orthopedic
Location4554 Forestdale Dr Unit C16, Park City, Utah
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1780510180
  • Provider Enumeration Date: 06/23/2026
  • Last Update Date: 06/23/2026

Medical Identifiers

Medical identifiers for Dr Elliott Derong Tan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1780510180NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251X0800XPhysical Therapist - Orthopedic 14288308-2401 (Utah)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Elliott Derong Tan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Elliott Derong Tan, DPT
1448 S 600 E,
Salt Lake City, UT 84105-2052

Ph: (206) 953-6096
Dr Elliott Derong Tan, DPT
4554 Forestdale Dr Unit C16,
Park City, UT 84098-1392

Ph: (435) 494-1336

Reviews and Comments


Physical Therapist in Park City, UT

Kathleen S Bochnowski, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 6030 Market St, Suite 135, Park City, UT 84098
Phone: 435-575-0345    Fax: 435-575-0346
Mrs. Larissa Gizelle Neal,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Center Dr, 200, Park City, UT 84098
Phone: 888-800-8744    
Kristen Prejean, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Ctr Dr, Park City, UT 84098
Phone: 888-800-8744    
Sandra Michele Saluti, M.S.,P.T.
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Center Dr, Park City, UT 84098
Phone: 888-800-8744    
Sarah B Vaughan, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098
Phone: 866-474-6677    
Elise Amelia Begg, PT, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 597 Parkway Dr Ste C, Park City, UT 84098
Phone: 435-649-7335    
Ms. Kieran Angelica Glenbockie, MPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1640 Redstone Center Dr, Suite 200, Park City, UT 84098
Phone: 888-800-8744    

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Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

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