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CHARLES CLARKE TANNER MPT COMT ATC CSCS NPI 1750304598


NPI Information

NPI: 1750304598
Provider Name: CHARLES CLARKE TANNER, MPT, COMT, ATC, CSCS
Classification: Physical Therapist - 2251X0800X
Entity Type: Individual

Specialization: Orthopedic

Address:
7400 BEAUFONT SPRINGS DR
SUITE 120
RICHMOND, VA
ZIP 23225
Phone: (804) 320-2220
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Charles Clarke Tanner, MPT, COMT, ATC, CSCS is an orthopedic physical therapist in Richmond, VA with 25 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice. Charles Clarke Tanner, MPT, COMT, ATC, CSCS NPI is 1750304598. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

7400 BEAUFONT SPRINGS DR
SUITE 120
RICHMOND, VA
ZIP 23225-556
Phone: (804) 320-2220
Fax: (804) 320-2226

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)

The enumeration date for this NPI number is 7/25/2006 and was last updated on 11/4/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251X0800XPhysical TherapistOrthopedic2305202905VIRGINIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100W135O01MEDICARE PINVIRGINIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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