Individual provider Active NPI

Tanner Tripp, PT

  • Physical Therapist
  • Kalispell, MT
National Provider Identifier
1114536646
Registry record updated Jul 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
19300 Issued in MT
Practice address
100 Westview Park PL
Kalispell, MT 59901-3074
Phone
(406) 393-2473
Fax
(406) 393-2475
NPI assigned
Jul 30, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 19300 MT Primary

Addresses

Primary practice location

100 Westview Park PL
Kalispell, MT 59901-3074

Mailing address

100 Westview Park PL
Kalispell, MT 59901-3074
Phone (406) 393-2473

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200922002218 MT Practitioner - Physical Therapist in Private Practice 7214355387 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glacier Peaks Mobile Physical Therapy LLCGroup PAC ID 8628488814, 3 clinicians

Practice addresses (Care Compare)

535 4TH Ave W
Columbia Falls, MT 59912-3605
Phone (406) 426-1560

880 Hodgson Rd
Columbia Falls, MT 59912-9026

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
19300MTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glacier Peaks Mobile Physical Therapy LLC Single Specialty CurrentSince Feb 20, 2024 Accepting new patients
Vision Clinic PLLC Single Specialty CurrentSince Jul 20, 2020 Accepting new patients
The Intentional OT LLC Single Specialty PastSince Jun 23, 2025 Accepting new patients

Locations

535 4th Ave W
Columbia Falls, MT 59912
Phone (406) 290-9373

100 Westview Park Pl
Kalispell, MT 59901
Phone (406) 393-2472

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1596067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596067200000",
    "number": "1114536646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-393-2473",
            "fax_number": "406-393-2475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WESTVIEW PARK PL",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599013074",
            "telephone_number": "406-393-2473",
            "fax_number": "406-393-2475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIPP",
        "first_name": "TANNER",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-07-30",
        "last_updated": "2020-07-30",
        "certification_date": "2020-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "19300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kalispell, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2020; 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.