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

Sur Tan, DPT

Individual provider Orthopedic Physical Therapist · NPI 1407718851

Sur Tan, DPT is a Physical Therapist in Private Practice in Vancouver, Washington. Qualified in 2013, 13 years ago. Practices with Peacehealth, a 248-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
13
Licensed in
WA
In the registry since
2025
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

3101 SE 192nd Ave
Vancouver, WA 98683-1442
Phone: (360) 729-8010
Fax: (360) 729-8011
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 60385496 (WA)

Record details

NPI number1407718851
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 24, 2025
Last updated in NPPESDecember 9, 2025
Certification dateDecember 9, 2025
Mailing address820 Nw Deerfern Loop, Camas, WA 98607-8648

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Peacehealth — 248 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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