Daniel Scott Tanis Jr., PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

3899 W Front St
Traverse City, MI 49684-8103

Phone

(231) 944-6541

NPI assigned

Jan 20, 2022

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Hale Performance Rehabilitation

  • Physical Therapy Clinic/Center
  • Traverse City, MI
  • NPI 1306663174
  NPD Authorized official
• Focus Chiropractic PLLC

  • Chiropractor
  • Traverse City, MI
  • NPI 1295458560
  NPD
• Functional Dimensions LLC

  dba Superior Physical Therapy

  • Physical Therapist
  • Traverse City, MI
  • NPI 1750661542
  NPD (past)

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1710639844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 W 12TH ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844003",
            "telephone_number": "231-740-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3899 W FRONT ST",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496848103",
            "telephone_number": "231-944-6541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANIS",
        "first_name": "DANIEL",
        "middle_name": "SCOTT",
        "name_suffix": "Jr.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Talbott, FNP
• James L Talbott, MS LLP
• Zoe Elizabeth Tambs
• Renee Michelle Tamlyn, D.O.
• Tamlynn L. Evans, PLC
• Justin Tannir, MD
• Leah Ann Tatasciore, RN PHCNS-BC CBIS
• Tawfiq Alkilani DDS PLLC (Aspen Dental)
• Anne P Taylor, M.D.
• Jeremy Taylor, ATC

• Physical Therapy Assistant in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.