Active NPI
Tanner Ravize, DPT
- Orthopedic Physical Therapist
- Newport Beach, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 304837
- Practice address
- 1600 Dove St Ste 100
Newport Beach, CA 92660-2438 - Phone
- (949) 502-3388
- Fax
- (949) 502-3304
- NPI assigned
- Jan 3, 2024
- Last updated
- Jan 3, 2024
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 304837 | CA | Primary |
Addresses
Primary practice location
1600 Dove St Ste 100
Newport Beach, CA 92660-2438
Mailing address
1600 Dove St Ste 100
Newport Beach, CA 92660-2438
Phone (949) 502-3388
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1600 Dove St
Suite 100
Newport Beach, CA 92660-2438
Phone (949) 502-3388
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Accelerate Physical Therapy, PC | Orthopedic | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Orthopedic | Current | Accepting new patients |
| Dugan Therapy and Fitness Inc | Orthopedic | Past | Accepting new patients |
Locations
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
1600 Dove St
Ste 100
Newport Beach, CA 92660
Phone (949) 502-3388
2029 Village Ln
Ste 106
Solvang, CA 93463
Phone (805) 686-1934
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1704240000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704240000000",
"number": "1538939236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 DOVE ST STE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602438",
"telephone_number": "949-502-3388",
"fax_number": "949-502-3304"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 DOVE ST STE 100",
"city": "NEWPORT BEACH",
"state": "CA",
"postal_code": "926602438",
"telephone_number": "949-502-3388",
"fax_number": "949-502-3304"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RAVIZE",
"first_name": "TANNER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-01-03",
"last_updated": "2024-01-03",
"certification_date": "2024-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CA",
"license": "304837",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Newport Beach, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.