Cortney Krechkin Tanner, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3927 Issued in ME

Practice address

37 Gray Birch Dr
Augusta, ME 04330-6105

Phone

(207) 621-7100

NPI assigned

Jul 30, 2012

Last updated

Dec 23, 2015By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1343606400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1450828800000",
    "number": "1396091179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 ENTERPRISE DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043307997",
            "telephone_number": "207-621-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 GRAY BIRCH DR",
            "city": "AUGUSTA",
            "state": "ME",
            "postal_code": "043306105",
            "telephone_number": "207-621-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CORTNEY",
        "middle_name": "KRECHKIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-30",
        "last_updated": "2015-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ME",
            "license": "PT3927",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hellen Tairodza
• Guy L Talbourdet, PHARMD
• Andrea M Taliento, D.M.D.
• David Benjamin Talmadge, M.D.
• Angela Tanner
• Amber Lynn Tardiff, PHARMD
• Vahe G Tatikian, MD
• Robert Joseph Tavares, DO
• Margo Meredyth Taylor, FNP
• Elizabeth A Teague, PA-C

• Physical Therapist in Augusta, ME
• Providers in Augusta, ME by specialty
• Physical Therapist in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.