Individual provider Active NPI

Tanner James Dewey, DPT

  • Physical Therapist
  • Sioux Falls, SD
National Provider Identifier
1659997815
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2227 Issued in SD
Practice address
6800 S Louise Ave
Sioux Falls, SD 57108-6026
Phone
(605) 504-2472
NPI assigned
Jun 23, 2020
Last updated
Jul 5, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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 2227 SD Primary

Addresses

Primary practice location

6800 S Louise Ave
Sioux Falls, SD 57108-6026

Mailing address

4130 Pioneer Woods Dr
Ste 1
Lincoln, NE 68506-7552
Phone (402) 489-4700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SD, NE2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200702002375 SD Practitioner - Physical Therapist in Private Practice 0840613121 Reassigns benefits to 1 organization
I20210729002957 NE Practitioner - Physical Therapist in Private Practice 0840613121 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4130 Pioneer Woods Dr
Suite 1
Lincoln, NE 68506-7552
Phone (402) 489-4700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2227SDMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Avera McKennan CurrentSince Jul 6, 2020 Accepting new patients
Prairie Orthopaedic & Plastic Surgery, PC CurrentSince Jul 5, 2022 Accepting new patients
Prairie Orthopaedic & Plastic Surgery, P.C. Physical Therapist CurrentSince Jul 5, 2022 Accepting new patients
Avera McKennan CurrentSince Jul 6, 2020 Accepting new patients

Locations

4130 Pioneer Woods Dr
Ste 1
Lincoln, NE 68506
Phone (402) 489-4700

5901 N 28th St
Lincoln, NE 68504
Phone (402) 489-4700

300 W 5th St
Miller, SD 57362
Phone (605) 853-0158

6800 S Louise Ave
Sioux Falls, SD 57108
Phone (605) 322-3278

Organizations & group practices 4

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656979200000",
    "number": "1659997815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4130 PIONEER WOODS DR",
            "address_2": "STE 1",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685067552",
            "telephone_number": "402-489-4700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6800 S LOUISE AVE",
            "city": "SIOUX FALLS",
            "state": "SD",
            "postal_code": "571086026",
            "telephone_number": "605-504-2472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEWEY",
        "first_name": "TANNER",
        "middle_name": "JAMES",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SD",
            "license": "2227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sioux Falls, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; 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.