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

Mr. Kim Kelby Sia Tan, RPT

Individual provider Physical Therapist · NPI 1114471083

Mr. Kim Kelby Sia Tan, RPT is a Physical Therapist in Private Practice in Orlando, Florida. Qualified in 2019, 7 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Texas.

Years since qualifying
7
Licensed in
TX
In the registry since
2016
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Practice location Address checks out

3452 Lake Lynda Dr Ste 2001
Orlando, FL 32817-1430
Phone: (800) 774-7785
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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 1253233 (TX)

Record details

NPI number1114471083
Entity typeIndividual (Type 1)
GenderMale
Credentials RPT
Sole proprietorYes
NPI enumeratedAugust 9, 2016
Last updated in NPPESAugust 9, 2016

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2019 (7 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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