Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Elliott Derong Tan, DPT

Individual provider Orthopedic Physical Therapist · NPI 1780510180

Dr. Elliott Derong Tan, DPT is an Orthopedic Physical Therapist in Park City, Utah. Licensed in Utah. Registered with an NPI since 2026.

Licensed in
UT
In the registry since
2026
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

4554 Forestdale Dr Unit C16
Park City, UT 84098-1392
Phone: (435) 494-1336
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 14288308-2401 (UT)

Record details

NPI number1780510180
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJune 23, 2026
Last updated in NPPESJune 23, 2026
Certification dateJune 23, 2026

Other providers in Park City