Tanner Sand, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

CP032087T Issued in IA

Practice address

1260 Valley View Dr
Council Bluffs, IA 51503-5245

Phone

(712) 396-2000

NPI assigned

Jul 12, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Nebraska College of Medicine, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthowest, LLCGroup PAC ID 8921086893, 109 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Orthowest LLC

  • Orthopaedic Surgery Physician
  • Omaha, NE
  • NPI 1275641904

  IA, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Orthowest LLC

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1073323606
  Care Compare group NPD
• Orthowest LLC

  • Durable Medical Equipment & Medical Supplies
  • Council Bluffs, IA
  • NPI 1992514517
  Care Compare group
• Orthowest LLC

  • Durable Medical Equipment & Medical Supplies
  • Elkhorn, NE
  • NPI 1033928668
  Care Compare group
• Orthowest LLC

  • Durable Medical Equipment & Medical Supplies
  • Omaha, NE
  • NPI 1548133697
  Care Compare group

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

{
    "created_epoch": "1720742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720742400000",
    "number": "1073350435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11435 GERTRUDE CT APT 303",
            "city": "LA VISTA",
            "state": "NE",
            "postal_code": "681284794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 VALLEY VIEW DR",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515035245",
            "telephone_number": "712-396-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAND",
        "first_name": "TANNER",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-07-12",
        "last_updated": "2024-07-12",
        "certification_date": "2024-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "4668",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "CP032087T",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Jo Salvo-McGinn, M.S.
• Sam'S Club Optical
• Omar Samateh
• Sams West Inc
• Teresa Karen Sanchez, MS, PLMHP
• Emery Nathalie Sandoval
• Tara L Sands, DNP
• Michelle Sarkissian Wulf, D.D.S
• Ronald A Sarno, MD
• Kayla Scalise

• All providers in Council Bluffs, IA
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2024; 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.

Verify at the official NPI Registry.