Gordon R Tanner

Primary specialty

MechanotherapistTaxonomy code 172M00000X

License

MA12950 Issued in FL

Practice address

6421 SW 13TH St
Gainesville, FL 32608-5419

Phone

(352) 378-7891

NPI assigned

Jan 18, 2013

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": "1358467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358467200000",
    "number": "1881932390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 NE 53RD TER",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326092623",
            "telephone_number": "352-381-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6421 SW 13TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326085419",
            "telephone_number": "352-378-7891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TANNER",
        "first_name": "GORDON",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-01-18",
        "last_updated": "2013-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172M00000X",
            "taxonomy_group": "",
            "desc": "Mechanotherapist",
            "state": "FL",
            "license": "MA12950",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsay Tanis
• Simion Tankhelson, L.M.T.
• Quentin K Tanko, MD
• Christina Tannen, PH.D.
• Sarah Tannen, RDN, LD
• Kathy Tanny, L.M.T.
• Jogiraju V Tantravahi, MD
• Tanya Mickler, PH.D, P.a.
• Albert Tapia-Ruano, PHARM.D.
• Gabrielle Elizabeth Tapia, MSW

• Mechanotherapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Mechanotherapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; 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.