Jackson Chio Tan, M.D., PH.D., P.T.

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

ME71587 Issued in FL

Practice address

6144 Gazebo Park PL S Ste 101
Jacksonville, FL 32257-1086

Phone

(904) 260-3011

Fax

(904) 260-3170

NPI assigned

Mar 14, 2007

Last updated

Aug 14, 2026By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine, Doctor of Philosophy

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Occupational and Rehabilitation Center PA

  • Physical Medicine & Rehabilitation Physician
  • Jacksonville, FL
  • NPI 1164507422

  Single Specialty

  NPD Authorized official
• Integra Therapeutic Massage, LLC

  dba Integra Physical Therapy and Massage

  • Physical Therapy Clinic/Center
  • Orange Park, FL
  • NPI 1376159178

  Single Specialty

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1649303934",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6144 GAZEBO PARK PL S STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571086",
            "telephone_number": "904-260-3011",
            "fax_number": "904-260-3170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6144 GAZEBO PARK PL S STE 101",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322571086",
            "telephone_number": "904-260-3011",
            "fax_number": "904-260-3170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1409 Kingsley Ave Bldg 3",
            "address_purpose": "LOCATION",
            "city": "Orange Park",
            "state": "FL",
            "postal_code": "320734537",
            "country_code": "US",
            "telephone_number": "904-260-3011",
            "fax_number": "904-260-3170",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2425 Dunn Ave Ste 1",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322184603",
            "country_code": "US",
            "telephone_number": "904-714-2364",
            "fax_number": "904-260-3170",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TAN",
        "first_name": "JACKSON",
        "middle_name": "CHIO",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D., P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "ME71587",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Benjamin Tian-Hai Tan, DO
• Danica Tan
• Darlene Tan, LMT
• Fe Vasquez Tan, PHYSICAL THERAPIST
• Helen Tan, DPT
• Jade Tan
• Joann M Tan, DNP CRNA
• Lukas H Tan, M.D.
• Mable Tan, MD
• Maridel Nazareno Tan, ARNP

• Physical Medicine & Rehabilitation Physician in Jacksonville, FL
• Providers in Jacksonville, FL by specialty
• Physical Medicine & Rehabilitation Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.