Individual provider Active NPI

Tanya M Henry, PT

  • Physical Therapist
  • Tempe, AZ
National Provider Identifier
1629115936
Registry record updated Jul 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
LPT-012793 Issued in AZ
Practice address
60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126
Phone
(602) 885-9575
Fax
(480) 718-7657
NPI assigned
Jan 30, 2007
Last updated
Jul 1, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LPT-012793 AZ Primary

Addresses

Primary practice location

60 E Rio Salado Pkwy Ste 900
Tempe, AZ 85281-9126

Mailing address

15836 S 9TH St
Phoenix, AZ 85048-1929
Phone (214) 457-8166

Other names 1

  • Tanya M Gnewuch Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180515000871 AZ Practitioner - Physical Therapist in Private Practice 4082897046 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LPT-012793AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miller Physical Therapy Inc Physical Therapist CurrentSince Apr 15, 2018 Accepting new patients
Solace Pediatric Healthcare Therapy Services Az, Inc. Physical Therapist CurrentSince Jul 29, 2020 Accepting new patients
Pioneer Pet, LLC Past Accepting new patients

Locations

11111 N Scottsdale Rd
Ste 125
Scottsdale, AZ 85254
Phone (480) 596-8772

1930 E Southern Ave
Tempe, AZ 85282
Phone (480) 456-0719

60 E Rio Salado Pkwy
Ste 900
Tempe, AZ 85281
Phone (480) 456-0719

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": "1170115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593561600000",
    "number": "1629115936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15836 S 9TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850481929",
            "telephone_number": "214-457-8166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 E RIO SALADO PKWY STE 900",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852819126",
            "telephone_number": "602-885-9575",
            "fax_number": "480-718-7657"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENRY",
        "first_name": "TANYA",
        "middle_name": "M",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-30",
        "last_updated": "2020-07-01",
        "certification_date": "2020-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "LPT-012793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TANYA",
            "last_name": "GNEWUCH",
            "middle_name": "M",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Tempe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 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.