Active NPI
Tanner M Hoffmann, DPT
- Physical Therapist
- Wimberley, TX
National Provider Identifier
1023597549
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3122559
- Practice address
- 14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019 - Phone
- (512) 847-3300
- Fax
- (512) 847-3314
- NPI assigned
- Aug 7, 2018
- Last updated
- Aug 7, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3122559 | TX | Primary |
Addresses
Primary practice location
14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019
Mailing address
14100 Ranch Road 12 Unit 100
Wimberley, TX 78676-0019
Phone (512) 847-3300
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 275122769 | Other | TX | PHYSICAL THERAPY OF WIMBERELY, AKA 2MPOLHEMUS, LLC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Lincoln St
Lander, WY 82520-2846
Phone (307) 335-5188
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3122559 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wind River Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
Locations
150 Lincoln St
Lander, WY 82520
Phone (307) 335-5188
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1533600000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1533600000000",
"number": "1023597549",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14100 RANCH ROAD 12 UNIT 100",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786760019",
"telephone_number": "512-847-3300",
"fax_number": "512-847-3314"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "14100 RANCH ROAD 12 UNIT 100",
"city": "WIMBERLEY",
"state": "TX",
"postal_code": "786760019",
"telephone_number": "512-847-3300",
"fax_number": "512-847-3314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOFFMANN",
"first_name": "TANNER",
"middle_name": "M",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-08-07",
"last_updated": "2018-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "3122559",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY OF WIMBERELY, AKA 2MPOLHEMUS, LLC",
"identifier": "275122769",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wimberley, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.