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

Tyan Kan

Individual provider Physical Therapist · NPI 1265045793

Tyan Kan is a Physical Therapist in Private Practice in Eden Prairie, Minnesota. Qualified in 2020, 6 years ago. Practices with Odom Sports Medicine PA, a 69-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Maryland and Minnesota.

Years since qualifying
6
Licensed in
MD, MN
In the registry since
2020
Specialties on file
2
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Practice location Address checks out

6545 Flying Cloud Dr Ste 201
Eden Prairie, MN 55344-3356
Phone: (612) 364-1901
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 9135 Piscataway Rd Ste 305, Clinton, MD 20735-2554 — (410) 877-2323
  • 3311 Toledo Ter Ste A1, Hyattsville, MD 20782-4136 — (301) 853-0093
  • 497 Main St Ste 101, Prince Frederick, MD 20678-3190 — (410) 414-3560

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 13373 (MN)
Physical Therapist Taxonomy 225100000X · Licence 27814 (MD)

Record details

NPI number1265045793
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2020
Last updated in NPPESMay 13, 2024
Certification dateMay 13, 2024
Mailing addressPo Box 419666, Boston, MA 02241-9666

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Odom Sports Medicine Pa — 69 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Eden Prairie