Tanner McCloud Roche, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

304807 Issued in CA

Practice address

3257 Camino de Los Coches Ste 301
Carlsbad, CA 92009-8974

Phone

(310) 386-6788

Fax

(760) 652-5134

NPI assigned

Aug 31, 2023

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 CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Natural Health Sports Therapy IncGroup PAC ID 4688900699, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Natural Health Sports Therapy Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1982930392

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Misi Physical Therapy, PC

  • Physical Therapist
  • El Segundo, CA
  • NPI 1629784848
  NPD (past)

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

{
    "created_epoch": "1693440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1710763289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4747 MARINA DR APT 10",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920084240",
            "telephone_number": "949-235-3951"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3257 CAMINO DE LOS COCHES STE 301",
            "city": "CARLSBAD",
            "state": "CA",
            "postal_code": "920098974",
            "telephone_number": "310-386-6788",
            "fax_number": "760-652-5134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROCHE",
        "first_name": "TANNER",
        "middle_name": "MCCLOUD",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-31",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "304807",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Picolya Katice Robinson, PSY. D
• Rebecca Anne Robinson
• Makenzie Rocco
• Brenda Rocha
• Kylie Rocha
• Alice Rockey, RN
• Maritsa Ruby Rodriguez-Jimenez
• Alejandro Rodriguez
• Amadeus Rodriguez
• Briana Rodriguez

• Physical Therapist in Carlsbad, CA
• Providers in Carlsbad, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2023; 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.