Individual provider Active NPI

Tanner Benedict

  • Physical Therapist
  • Whitefish, MT
National Provider Identifier
1912486358
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTP-PT-LIC-15069 Issued in MT
Practice address
6475 US Highway 93 S Ste 5a
Whitefish, MT 59937-8265
Phone
(406) 862-4540
Fax
(406) 890-7193
NPI assigned
Aug 7, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTP-PT-LIC-15069 MT Primary

Addresses

Primary practice location

6475 US Highway 93 S Ste 5a
Whitefish, MT 59937-8265

Mailing address

6479 US Highway 93 S
PMB #520
Whitefish, MT 59937-8282
Phone (406) 862-4540

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181011002510 MT Practitioner - Physical Therapist in Private Practice 7618229055 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Snow Ghost Physical Therapy LLCGroup PAC ID 5991166712, 2 clinicians

Practice addresses (Care Compare)

6475 US Hwy 93 S
Suite 5a
Whitefish, MT 59937-8282
Phone (406) 862-4540

940 Spokane Ave
Suite 2
Whitefish, MT 59937-2931

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Snow Ghost Physical Therapy LLC Physical Therapist CurrentSince Aug 3, 2023 Accepting new patients

Locations

6475 US Highway 93 S
Ste 5A
Whitefish, MT 59937
Phone (406) 295-0525

6475 US Highway 93 S
Whitefish, MT 59937
Phone (406) 862-7434

940 Spokane Ave
Ste 2
Whitefish, MT 59937
Phone (406) 295-0525

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1533600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778716800000",
    "number": "1912486358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6479 US HIGHWAY 93 S",
            "address_2": "PMB #520",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378282",
            "telephone_number": "406-862-4540",
            "fax_number": "406-890-7193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6475 US HIGHWAY 93 S STE 5A",
            "city": "WHITEFISH",
            "state": "MT",
            "postal_code": "599378265",
            "telephone_number": "406-862-4540",
            "fax_number": "406-890-7193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENEDICT",
        "first_name": "TANNER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-07",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "PTP-PT-LIC-15069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Whitefish, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.