Tanner Lee Dalgardno
Individual provider Active NPI Physical Therapist · Mercer Island, WA
NPI 1104559079 · NPPES record last updated Jul 7, 2022
Key facts
- NPI
- 1104559079
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- Practice address
- 7900 SE 28TH St Ste 102
Mercer Island, WA 98040-2970 - Phone
- (206) 232-9045
- NPI assigned
- Jul 7, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Therapy Management Services PLLC
Practice addresses (Care Compare)
19217 36TH Ave W
Suite 102
Lynnwood, WA 98036-5751
Phone (425) 670-9991
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230109002240 | WA | Practitioner - Physical Therapist in Private Practice | 6800266891 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapy Management Services, PLLC | Physical Therapist | Current | Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current |
Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Current |
Accepting new patients |
| Therapy Management Services, PLLC | Physical Therapist | Past | Accepting new patients |
Locations
1650 Lyndon Farm Ct
Ste 300
Louisville, KY 40223
Phone (726) 202-3039
11711 NE 12th St
Ste 3A
Bellevue, WA 98005
Phone (425) 454-1405
814 DuPont St
Bellingham, WA 98225
Phone (360) 671-2900
15500 1st Ave S
Ste 106
Burien, WA 98148
Phone (206) 242-0855
19217 36th Ave W
Ste 102
Lynnwood, WA 98036
Phone (425) 670-9991
7900 SE 28th St
Ste 102
Mercer Island, WA 98040
Phone (206) 232-9045
709 Cook Rd
Sedro Woolley, WA 98284
Phone (360) 873-8191
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Yes |
Addresses
Primary practice location
7900 SE 28TH St Ste 102
Mercer Island, WA 98040-2970
Mailing address
11711 NE 12TH St Ste 3a
Bellevue, WA 98005-2461
Other providers in Mercer Island, WA
- Tiffany Cruikshank
- Cura Healthcare
- Laura A Curtis
- Rose Curtis
- Richard Daifuku
- Alex H Dang
- Karen Danklefsen
- Rebecca A Dao
- Elizabeth Helen Daugherty
- Darrel Bevlin Davis
All providers in Mercer Island, WA · Physical Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 7, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.