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

Jedidiah Lagos Tan, RPT, DPT

Individual provider Physical Therapist · NPI 1114506110

Jedidiah Lagos Tan, RPT, DPT is a Physical Therapist in Pearland, Texas. Licensed in Texas. Registered with an NPI since 2021.

Licensed in
TX
In the registry since
2021
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

4102 Veterans Dr
Pearland, TX 77584-2950
Phone: (832) 379-0668
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 1342184 (TX)

Record details

NPI number1114506110
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT , DPT
Sole proprietorNo
NPI enumeratedApril 6, 2021
Last updated in NPPESJuly 29, 2022
Certification dateJuly 29, 2022

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