Gerald Tanner, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2054850 Issued in TX

Practice address

1101 Grace St
Wichita Falls, TX 76301-4414

Phone

(940) 720-5120

NPI assigned

Oct 5, 2007

Last updated

Oct 5, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

State licenses

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

{
    "created_epoch": "1191542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1191542400000",
    "number": "1801084611",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1219 DANBERRY ST",
            "city": "BURKBURNETT",
            "state": "TX",
            "postal_code": "763543121",
            "telephone_number": "940-569-2619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 GRACE ST",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763014414",
            "telephone_number": "940-720-5120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "GERALD",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-05",
        "last_updated": "2007-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2054850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Talbert, M.D.
• Ojus Tamrakar
• Lucy Tan, M.D.
• Leslie Lauren Tanis, PT
• Abirami Tanjavur, MD
• David Randall Tate
• Susan R Tate, MSPT
• Eli Taubert, CRNA
• Trevor S Taubert, PTA
• Barbara Taylor, OTR

• Physical Therapy Assistant in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; 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.