Tatum Vanderpool
NPI 1891408001ActiveIndividual· Physical Therapist· Mesa, AZ
Physical Therapist with 360 Physical Therapy LLC, practicing in Mesa, Arizona. Medicare paid $51,536 for services to 119 patients in 2024.
Overview
| NPI | 1891408001 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Sole proprietor | Yes |
| NPI issued | Jan 3, 2023 |
| Last updated in NPPES | Sep 5, 2025 |
| Certified by provider | Sep 5, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | LPT-32765 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (AZ) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 119 |
|---|---|
| Services billed | 2,500 across 9 procedure codes |
| Paid by Medicare | $51,536 |
Education and affiliations
| Graduation year | 2022 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- 360 Physical Therapy LLCMesa, AZ · 86 clinicians
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All 484 physical therapists in Mesa · All physical therapists in Arizona