Active NPI
Tanner Benedict
- Physical Therapist
- Whitefish, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTP-PT-LIC-15069
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 LLC
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Snow Ghost Physical Therapy LLC | Physical Therapist | Current | 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.
-
- Physical Therapist
- Whitefish, MT
- NPI 1881384535
MT, Physical Therapist
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.