Active NPI
Christian Tanner, PT, DPT
- Physical Therapist
- Seattle, WA
National Provider Identifier
1437857372
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1326025
- Practice address
- 116 Fairview Ave N
Seattle, WA 98109-5360 - Phone
- (206) 254-1456
- NPI assigned
- Feb 20, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | 1326025 | TX | Primary |
Addresses
Primary practice location
116 Fairview Ave N
Seattle, WA 98109-5360
Mailing address
528 Pontius Ave N Unit 521
Seattle, WA 98109-5822
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 61500122 | Other | WA | WASHINGTON PHYSICAL THERAPIST LICENSE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1326025 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676851200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704672000000",
"number": "1437857372",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "528 PONTIUS AVE N UNIT 521",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "116 FAIRVIEW AVE N",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981095360",
"telephone_number": "206-254-1456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TANNER",
"first_name": "CHRISTIAN",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-02-20",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1326025",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WASHINGTON PHYSICAL THERAPIST LICENSE",
"identifier": "61500122",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Seattle, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.