Charles Clarke Tanner, MPT, COMT, ATC, CSCS

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

2305202905 Issued in VA

Practice address

7400 Beaufont Springs Dr
Suite 120
Richmond, VA 23225-5556

Phone

(804) 320-2220

Fax

(804) 320-2226

NPI assigned

Jul 25, 2006

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 VA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Thrive Physical Therapy IncorporatedGroup PAC ID 2961468566, 7 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.

• Thrive Physical Therapy Incorporated

  • Orthopedic Physical Therapist
  • North Chesterfield, VA
  • NPI 1629098181
  Medicare reassignment Care Compare group NPD Authorized official
• Advanced Physical Therapy, Inc.

  • Physical Therapist
  • Midlothian, VA
  • NPI 1952386203
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1446595200000",
    "number": "1750304598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR",
            "address_2": "SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255556",
            "telephone_number": "804-320-2220",
            "fax_number": "804-320-2226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 BEAUFONT SPRINGS DR",
            "address_2": "SUITE 120",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232255556",
            "telephone_number": "804-320-2220",
            "fax_number": "804-320-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "CHARLES",
        "middle_name": "CLARKE",
        "credential": "MPT, COMT, ATC, CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-25",
        "last_updated": "2015-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "VA",
            "license": "2305202905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katie Elizabeth Tanguay
• Shariff F Tanious, MD
• Amy Lynne Tankoos, M.D.
• Vera Tann
• Adam Tanner
• Fred Leonard Tanner Jr., R.N.
• Gregory W Tanner, M.D.
• Reed Tracy Tanner Jr., MT-BC
• Somerlee Tanner
• Tanya S. Robertson LCSW LLC

• Orthopedic Physical Therapist in Richmond, VA
• Providers in Richmond, VA by specialty
• Orthopedic Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 2015; 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.