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

Justin Pan

Individual provider Physical Therapist · NPI 1366229262

Justin Pan is a Physical Therapist in Private Practice in Chattanooga, Tennessee. Qualified in 2023, 3 years ago. Practices with Excel Rehabilitation and Sports, a 53-clinician group and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
3
Licensed in
TN
In the registry since
2023
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

2158 Northgate Park Ln Ste 200
Chattanooga, TN 37415-6911
Phone: (423) 254-5461
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 15130 (TN)

Record details

NPI number1366229262
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedSeptember 13, 2023
Last updated in NPPESSeptember 13, 2023
Certification dateSeptember 13, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Excel Rehabilitation And Sports — 53 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Chattanooga