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Tanner Ray Timmerman, PT, DPT

NPI 1710425210ActiveIndividual· Physical Therapist· Council Bluffs, IA

Physical Therapist (PT, DPT) with Athletico Ltd, practicing in Council Bluffs, Iowa. Medicare paid $53,662 for services to 54 patients in 2024.

Overview

NPI1710425210
StatusActive
Entity typeIndividual
CredentialPT, DPT
Sole proprietorNo
NPI issuedFeb 3, 2017
Last updated in NPPESMar 17, 2018

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X3673NE

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Physical Therapist in Private Practice (IA); Practitioner - Physical Therapist in Private Practice (NE)
Accepts assignmentYes (participating)

Medicare services in 2024

Medicare patients54
Services billed2,916 across 10 procedure codes
Paid by Medicare$53,662

Medicare sources and data years

Education and affiliations

Graduation year2016
Medicare specialtyPhysical Therapist In Private Practice

Medical group

Source: CMS Care Compare

Other physical therapists in Council Bluffs

All 36 physical therapists in Council Bluffs · All physical therapists in Iowa