Tanner Hawkins, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH10008 Issued in AL

Practice address

15041 Highway 43 BLDG Suite
Russellville, AL 35653-1973

Phone

(256) 331-0070

Fax

(256) 331-0054

NPI assigned

Dec 8, 2020

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 AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 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.

• Encore Rehabilitation, Inc

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1003819608

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Encore Rehabilitation, Inc.

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD

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

{
    "created_epoch": "1607385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607385600000",
    "number": "1750987467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 JOHNSTON ST SE STE 200",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356012515",
            "telephone_number": "256-350-1764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15041 HIGHWAY 43 BLDG SUITE",
            "city": "RUSSELLVILLE",
            "state": "AL",
            "postal_code": "356531973",
            "telephone_number": "256-331-0070",
            "fax_number": "256-331-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAWKINS",
        "first_name": "TANNER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-08",
        "last_updated": "2020-12-08",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH10008",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregs Family Pharmacy Inc
• Marnie Nix Hallman
• Jena Williams Hamm, CRNP
• Justin Hargett
• Julie Harper
• Health Care for Life Al, LLC
• Jillian Nanette Hester, FNP-C
• Jana Heyne
• Bettie S Hillman, EDD, LPC
• Darlina F Holcomb, CRNP

• Physical Therapist in Russellville, AL
• Providers in Russellville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2020; 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.