Tanner Bennett Smith, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT296919 Issued in CA

Practice address

23121 Antonio Pkwy Ste 100
Rancho Santa Margarita, CA 92688-2660

Phone

(949) 713-6445

Fax

(949) 713-6488

NPI assigned

Aug 2, 2019

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

One Choice Physical Therapy IncGroup PAC ID 2567720402, 8 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.

• One Choice Physical Therapy Inc.

  • Physical Medicine & Rehabilitation Physician
  • Rancho Santa Margarita, CA
  • NPI 1912416744

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• California Luna Care Physical Therapy PC

  • Physical Therapist
  • Los Gatos, CA
  • NPI 1689162166
  Medicare reassignment NPD
• Premier Physical Therapy Inc

  • Physical Therapist
  • Foothill Ranch, CA
  • NPI 1588985832
  Medicare reassignment NPD
• Envision Sport Physical Therapy & Pilates

  • Physical Therapist
  • Irvine, CA
  • NPI 1326596925
  NPD

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

{
    "created_epoch": "1564704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1104471523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23121 ANTONIO PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882660",
            "telephone_number": "949-713-6445",
            "fax_number": "949-713-6488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23121 ANTONIO PKWY STE 100",
            "city": "RANCHO SANTA MARGARITA",
            "state": "CA",
            "postal_code": "926882660",
            "telephone_number": "949-713-6445",
            "fax_number": "949-713-6488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14150 Culver Dr Ste 103",
            "address_purpose": "LOCATION",
            "city": "Irvine",
            "state": "CA",
            "postal_code": "926040322",
            "country_code": "US",
            "telephone_number": "949-262-9142",
            "fax_number": "949-262-9144",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SMITH",
        "first_name": "TANNER",
        "middle_name": "BENNETT",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-02",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT296919",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jean Sivcovich
• Clare Marie Sivero, DPT
• Catherine Elizabeth Slade Dorrington, OTR/L
• Shayna Allene Slater, P.T.
• Steven Donald Smith, AN OPTOMETRIC CORP
• Julie Soria, NP
• Melany Soriano
• Ronald Leo Soriano
• Robert Karl Spang, PHYSICAL THERAPIST
• Spectrum Molecular Diagnostics Laboratory Corp

• Physical Therapist in Rancho Santa Margarita, CA
• Providers in Rancho Santa Margarita, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2019; 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.