Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tyan Kan

Individual provider Physical Therapist · NPI 1265045793

Tyan Kan is registered under 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

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

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients32
Services billed 1,486 a service is one billed item, such as a visit, a test or a procedure
Average patient age85

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Odom Sports Medicine PA

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 69 clinicians in the practice; 12 are shown here.

Other providers in Eden Prairie