Tanner Edward Spencer

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502008959 Issued in MI

Practice address

928 E 10 Mile Rd Ste 100
Ferndale, MI 48220-3041

Phone

(248) 621-5650

Fax

(248) 621-5651

NPI assigned

Feb 12, 2026

Last updated

Feb 12, 2026By the provider in NPPES

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

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": "1770854400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770854400000",
    "number": "1881546711",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928 E 10 MILE RD STE 100",
            "city": "FERNDALE",
            "state": "MI",
            "postal_code": "482203041",
            "telephone_number": "248-621-5650",
            "fax_number": "248-621-5651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "TANNER",
        "middle_name": "EDWARD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-02-12",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502008959",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Softer Earth
• Jung-Won Soh, PHARMD
• Courtney Davis Sommers, LLC
• Yong Hyon Song, D.C.
• Eleanor Grace Spencer
• Sphere Health PLLC
• Sphere Orthopedics and Regenerative Health PLLC
• Kat J Spindler, CCC-SLP/L
• Stephanie Danielle Springer, D.P.T.
• Lisa A Spurlock, MD

• Physical Therapy Assistant in Ferndale, MI
• Providers in Ferndale, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.