Rynna Jayne Tan, PT
NPI 1659111631ActiveIndividual· Physical Therapist· Jonesboro, GA
Physical Therapist (PT) with Independent Physical Therapy of Georgia, LLC, practicing in Jonesboro, Georgia. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1659111631 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT |
| Sole proprietor | No |
| NPI issued | May 28, 2024 |
| Last updated in NPPES | Jan 23, 2025 |
| Certified by provider | Jan 23, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT017575 | GA |
| Physical Therapist | 225100000X | 12526 | CT |
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 (GA) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Independent Physical Therapy of Georgia, LLCMonroe, GA · 531 clinicians
Other physical therapists in Jonesboro
- 1083109573
- 1366055683
- 1417848722
- 1467176222
- 1912518408
- 1023585650
- 1063592343
- 1316594849
- 1396932042
- 1700514700
- 1730377169
- 1487733739
All 25 physical therapists in Jonesboro · All physical therapists in Georgia