Jackson Tan, M.D., PH.D., P.T.
NPI 1649303934 · Physical Medicine & Rehabilitation Physician · Jacksonville, FL
Jackson Tan, M.D., PH.D., P.T. is a Physical Medicine & Rehabilitation Physician provider in Jacksonville, FL (NPI 1649303934).
Provider details
- NPI number
- 1649303934
- Entity type
- Individual
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D., P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME0071587 (FL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 11 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Oxycodone Hcl | 166 | — |
| Cyclobenzaprine Hcl | 75 | 12 |
| Hydrocodone/Acetaminophenbrand: Hydrocodone-Acetaminophen | 67 | — |
| Oxycodone Hcl/Acetaminophenbrand: Oxycodone-Acetaminophen | 66 | — |
| Gabapentin | 30 | — |
| Meloxicam | 27 | — |
| Tizanidine Hcl | 23 |
Practice location
Mailing address
Additional practice locations (2)
- 2425 Dunn Ave Ste 1Jacksonville, FL 32218-4603Phone: (904) 714-2364Fax: (904) 260-3170
- 1409 Kingsley Ave Bldg 3Orange Park, FL 32073-4537Phone: (904) 260-3011Fax: (904) 260-3170
Registry dates
- Enumerated
- 2007-03-14
- Last updated
- 2023-11-05
- Certified
- 2023-11-05
Frequently asked questions
- What is Jackson Tan's NPI number?
- Jackson Tan's National Provider Identifier (NPI) is 1649303934, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Jackson Tan's specialty?
- Jackson Tan is listed in the NPPES registry with a primary specialty of Physical Medicine & Rehabilitation Physician (Allopathic & Osteopathic Physicians).
- Where is Jackson Tan located?
- Jackson Tan's practice location on file with NPPES is 6144 Gazebo Park Pl S Ste 101, Jacksonville, FL 32257-1086.
- What is Jackson Tan's phone number?
- The practice phone number listed in the NPPES registry for Jackson Tan is (904) 260-3011.
- Is Jackson Tan's NPI active?
- Yes — Jackson Tan's NPI (1649303934) is active in the NPPES registry as of the last update on 2023-11-05.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.