Tanner Lee Munk, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1615 E Andrew Johnson Hwy
Morristown, TN 37814-5401

Phone

(423) 317-7772

NPI assigned

Jun 11, 2020

Sex

Male

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

Enrolled in TN, IL2 enrollments

Enrollment records 2

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.

• Jordan C Black

  dba Tristar Physical Therapy

  • Physical Therapist
  • Morristown, TN
  • NPI 1528569316
  Medicare reassignment NPD
• Professional Therapy Services, Inc

  • Physical Therapist
  • Pekin, IL
  • NPI 1578615225
  Medicare reassignment NPD
• Elevation Therapy, LLC

  dba Elevation Physical and Occupational Therapy

  • Physical Therapist
  • Middlesboro, KY
  • NPI 1932714888

  TN

  Medicare reassignment
• Tristar Physical Therapy LLC

  • Physical Therapist
  • Morristown, TN
  • NPI 1770116485
  NPD (past)

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

{
    "created_epoch": "1591833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591833600000",
    "number": "1457976730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 KECK ACRES",
            "city": "CUMBERLAND GAP",
            "state": "TN",
            "postal_code": "377244226",
            "telephone_number": "605-261-1517"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1615 E ANDREW JOHNSON HWY",
            "city": "MORRISTOWN",
            "state": "TN",
            "postal_code": "378145401",
            "telephone_number": "423-317-7772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUNK",
        "first_name": "TANNER",
        "middle_name": "LEE",
        "credential": "DPT, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-11",
        "last_updated": "2020-06-11",
        "certification_date": "2020-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• MP Operating LLC Dba Morristown Pharmacy (Morristown Pharmacy)
• MP Operating LLC Dba Morristown Pharmacy (Morristown Pharmacy)
• Jeanette Margaret Mullane, FNP-C
• David Printus Mullins, PA-C
• Tracy Mullins, PT
• Maxwell Cedrick Murphree, FNP-BC
• Amelia K Murphy, PHARM D
• Madison Noelle Murphy
• Mary Kathleen Murphy, DOCTOR OF PT
• James Muscari

• Physical Therapist in Morristown, TN
• Providers in Morristown, TN by specialty
• Physical Therapist in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.