Active NPI
Emily Tanis, PT, DPT
- Physical Therapist
- Lake Geneva, WI
National Provider Identifier
1356951206
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15105-24
- Practice address
- 6722 Wi-50
Lake Geneva, WI 53147 - Phone
- (262) 248-2029
- NPI assigned
- Aug 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15105-24 | WI | Primary |
Addresses
Primary practice location
6722 Wi-50
Lake Geneva, WI 53147
Mailing address
S22W25489 Harris Highland Dr
Waukesha, WI 53188-4809
Phone (815) 534-0773
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1596585600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1596585600000",
"number": "1356951206",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "S22W25489 HARRIS HIGHLAND DR",
"city": "WAUKESHA",
"state": "WI",
"postal_code": "531884809",
"telephone_number": "815-534-0773"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6722 WI-50",
"city": "LAKE GENEVA",
"state": "WI",
"postal_code": "53147",
"telephone_number": "262-248-2029"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANIS",
"first_name": "EMILY",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-05",
"last_updated": "2020-08-05",
"certification_date": "2020-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WI",
"license": "15105-24",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Geneva, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.