Nathan Shawn Tanner, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8259 Issued in AZ

Practice address

2500 S Power Rd
#123
Mesa, AZ 85209-6686

Phone

(480) 218-1344

Fax

(480) 218-1356

NPI assigned

Sep 30, 2008

Sex

Male

Sole proprietor

No

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 WY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Carbon County Therapy LLCGroup PAC ID 5496174781, 4 clinicians

Practice addresses (Care Compare)

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.

• Carbon County Therapy LLC

  • Physical Therapy Clinic/Center
  • Rawlins, WY
  • NPI 1457961252

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Fremont Therapy Group LLC

  • Physical Therapist
  • Riverton, WY
  • NPI 1477568046
  Medicare reassignment NPD
• Moore Physical Therapy PLC

  • Physical Therapist
  • Mesa, AZ
  • NPI 1538258991
  NPD (past)

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

{
    "created_epoch": "1222732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222732800000",
    "number": "1497905103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD",
            "address_2": "#123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096686",
            "telephone_number": "480-218-1344",
            "fax_number": "480-218-1356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 S POWER RD",
            "address_2": "#123",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852096686",
            "telephone_number": "480-218-1344",
            "fax_number": "480-218-1356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "NATHAN",
        "middle_name": "SHAWN",
        "name_prefix": "Mr.",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-09-30",
        "last_updated": "2008-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8259",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tandem Behavior Health Care
• Varun Tandon, MD
• Tanesha'S Loving in Home Care LLC
• Julie Mee Wah Tang, D.M.D.
• Solanch Tangap, FNP-C
• Tyson R Tanner, OD
• Seema Tanveer, MD
• Cornelius Ebai Tanyi
• Maura Ruth Annalysse Tapia, LAC
• Taras Dream Catchers LLC

• Physical Therapist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; 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.