Shonn J Tanner, DPT

Primary specialty

SpecialistTaxonomy code 174400000X

License

8649084-2401 Issued in UT

Practice address

596 W 750 S Ste 210
Bountiful, UT 84010-7262

Phone

(801) 298-2533

Fax

(801) 928-2882

NPI assigned

Feb 6, 2015

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Utah School of Medicine, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Longview Physical and Sports Therapy Services PSGroup PAC ID 6305832668, 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.

• Longview Physical and Sports Therapy Services PS

  • Physical Therapist
  • Longview, WA
  • NPI 1184835100
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1423180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1346631702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5151 S 900 E",
            "address_2": "SUITE 100",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841176657",
            "telephone_number": "801-261-3321",
            "fax_number": "801-261-5942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "596 W 750 S STE 210",
            "city": "BOUNTIFUL",
            "state": "UT",
            "postal_code": "840107262",
            "telephone_number": "801-298-2533",
            "fax_number": "801-928-2882"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5151 S 900 E",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Salt Lake City",
            "state": "UT",
            "postal_code": "841176657",
            "country_code": "US",
            "telephone_number": "801-261-3321",
            "fax_number": "801-261-5942",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TANNER",
        "first_name": "SHONN",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-06",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "UT",
            "license": "8649084-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Miner Taggart, M.S./CCC
• Rachel Taggart, CTRS, TRS
• Betty Talo
• Kylie Nichole Tanner
• Paul Benjamin Tanner, MBA, CCA
• Ana Taulanga
• Tautai Barton Creek, LLC
• Mary Frances Tay, RDN
• Ashley Taylor
• Bethanny Taylor

• Specialist in Bountiful, UT
• Providers in Bountiful, UT by specialty
• Specialist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.