Tanner Shellenbarger

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

4655 66TH St N Ste 22B
Kenneth City, FL 33709-4827

Phone

(727) 546-4700

NPI assigned

Mar 3, 2022

Last updated

Mar 3, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Medicare enrollment (NPD)

Not enrolled

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1646265600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646265600000",
    "number": "1043967722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11850 DR MARTIN LUTHER KING JR ST N APT 3307",
            "city": "SAINT PETERSBURG",
            "state": "FL",
            "postal_code": "337161620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4655 66TH ST N STE 22B",
            "city": "KENNETH CITY",
            "state": "FL",
            "postal_code": "337094827",
            "telephone_number": "727-546-4700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHELLENBARGER",
        "first_name": "TANNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-03-03",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Liliana Batista Rodriguez, RBT
• Hector Julio Rosario
• Gregorio S Santos, MD
• Abey Sarai, MD, FACP
• Robert Christopher Saunders, RN
• Chevonne Jass Singh, APRN
• Clementie Sinigur, PA-C
• Sports and Orthopedic Rehabilitation Services Inc (Select Physical Therapy)
• St Mary Surgical Inc
• St Petersburg Nursing Home, LLC (Jacaranda Manor)

• Physical Therapist in Kenneth City, FL
• Providers in Kenneth City, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.