Spencer Jacob Tannenbaum, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

18195 Issued in CO

Practice address

1262 Bergen Pkwy Unit E10
Evergreen, CO 80439-9546

Phone

(303) 674-7889

NPI assigned

Feb 9, 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

Enrolled in CO

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Colorado Luna Care Physical Therapy LLC

  • Physical Therapist
  • Denver, CO
  • NPI 1891461125
  Medicare reassignment NPD
• Fit Physical Therapy Prof LLC

  • Physical Therapy Clinic/Center
  • Littleton, CO
  • NPI 1366442758
  Medicare reassignment NPD
• Intermountain Medical Group Denver, LLC

  • Family Medicine Physician
  • Denver, CO
  • NPI 1083021083
  Medicare reassignment NPD
• Panorama Orthopedics and Spine Center PC

  • Orthopaedic Surgery Physician
  • Golden, CO
  • NPI 1295787950
  Medicare reassignment NPD
• Fit Physical Therapy

  • Physical Therapist
  • Westminster, CO
  • NPI 1265686224
  NPD
• Intermountain Medical Group Denver, LLC

  • Cardiovascular Disease Physician
  • Wheat Ridge, CO
  • NPI 1083451306
  NPD
• Intermountain Medical Group Denver, LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Denver, CO
  • NPI 1083598874
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Wheat Ridge, CO
  • NPI 1003574054
  NPD
• Panorama Orthopedics & Spine Center, PC

  • Physical Therapy Clinic/Center
  • Colorado Springs, CO
  • NPI 1194390518
  NPD

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

{
    "created_epoch": "1644364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644364800000",
    "number": "1730833609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1262 BERGEN PKWY UNIT E10",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399546",
            "telephone_number": "303-674-7889"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1262 BERGEN PKWY UNIT E10",
            "city": "EVERGREEN",
            "state": "CO",
            "postal_code": "804399546",
            "telephone_number": "303-674-7889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNENBAUM",
        "first_name": "SPENCER",
        "middle_name": "JACOB",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-02-09",
        "last_updated": "2022-02-09",
        "certification_date": "2022-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "18195",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Sudmalis
• Susan Hess LPC LLC
• Marie Synchef, LCSW
• Synergy Physical Therapy and Yoga, Inc
• Mary Kim Tadda
• Jennifer Marie Tansey
• Angele Tatem, BCABA
• Tausel Consulting LLC
• Terry M. Levy,PH.D.,P.a.
• TFL Provider Network LLC

• Physical Therapist in Evergreen, CO
• Providers in Evergreen, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2022; 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.