Tyan Kan
NPI 1265045793ActiveIndividual· Physical Therapist· Eden Prairie, MN
Physical Therapist with Odom Sports Medicine PA, practicing in Eden Prairie, Minnesota. Medicare paid $31,567 for services to 32 patients in 2024.
Overview
| NPI | 1265045793 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | No |
| NPI issued | Aug 25, 2020 |
| Last updated in NPPES | May 13, 2024 |
| Certified by provider | May 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 13373 | MN |
| Physical Therapist | 225100000X | 27814 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (MN) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 32 |
|---|---|
| Services billed | 1,486 across 9 procedure codes |
| Paid by Medicare | $31,567 |
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Odom Sports Medicine PAEden Prairie, MN · 61 clinicians
Other physical therapists in Eden Prairie
- 1043634678
- 1104373117
- 1104574763
- 1205514700
- 1225712573
- 1235974999
- 1285543439
- 1306496278
- 1376199265
- 1376211540
- 1386370187
- 1437451853
All 90 physical therapists in Eden Prairie · All physical therapists in Minnesota