Individual provider Active NPI

Tanner Jordan Reed, DPT

  • Physical Therapist
  • Harrisburg, PA
National Provider Identifier
1356903009
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
TPT023250 Issued in PA
Practice address
4830 Londonderry Rd Ste 2
Harrisburg, PA 17109-5207
Phone
(717) 724-4888
Fax
(717) 652-4203
NPI assigned
Jul 2, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X TPT023250 PA Primary

Addresses

Primary practice location

4830 Londonderry Rd Ste 2
Harrisburg, PA 17109-5207

Mailing address

7 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-2123

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190926002410 PA Practitioner - Physical Therapist in Private Practice 1951631381 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

325 N Enola Rd
Enola, PA 17025-2123
Phone (717) 412-7500

5040 Spring Rd
Shermans Dale, PA 17090-8316
Phone (717) 582-7172

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPT023250PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC CurrentSince Aug 1, 2019 Accepting new patients
Family Practice Center, PC Multi-Specialty CurrentSince Aug 1, 2019 Accepting new patients
Central PA Rehabilitation Services, Inc. Multi-Specialty Current Accepting new patients

Locations

318 New Bloomfield Rd
Duncannon, PA 17020
Phone (717) 834-3784

325 N Enola Rd
#2
Enola, PA 17025

4830 Londonderry Rd
Ste 2
Harrisburg, PA 17109
Phone (717) 724-4888

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

5040 Spring Rd
Shermans Dale, PA 17090
Phone (717) 582-7172

Interoperability endpoints

  • Direct secure messaging: treed@direct.cprspt.com

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": "1562025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562025600000",
    "number": "1356903009",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 DOCK HILL RD",
            "city": "MIDDLEBURG",
            "state": "PA",
            "postal_code": "178428910",
            "telephone_number": "570-837-2123",
            "fax_number": "570-837-2185"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4830 LONDONDERRY RD STE 2",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171095207",
            "telephone_number": "717-724-4888",
            "fax_number": "717-652-4203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REED",
        "first_name": "TANNER",
        "middle_name": "JORDAN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-07-02",
        "last_updated": "2019-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "TPT023250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

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