AMANDA TANNER PT, DPT
NPI 1083305460
Physical Therapist in Hurricane, WV

Active since May 17, 2023
1390 N POPLAR FORK RD, HURRICANE, WV 25526(304) 757-7826 Get Directions Write a Review

NPPES record last updated: May 17, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Amanda Tanner Pt, Dpt NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA TANNER PT, DPT (NPI 1083305460) is an individual physical therapist in Hurricane, West Virginia, licensed in West Virginia (002945) and active in the NPI registry since May 2023. She is a graduate of Other (2011).

NPPES Registry Identity

NPI1083305460
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameAMANDA TANNERCredential: PT, DPT
Location Address1390 N POPLAR FORK RDHurricane, WV 25526-7112
Mailing Address1390 N Poplar Fork RdHurricane, WV 25526-7112 · (304) 963-3185
Sole ProprietorYes
Medical School CMSOtherGraduated 2011
Enumeration DateMay 17, 2023
NPPES CertifiedMay 17, 2023
✔ NPI 1083305460 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in WV · 002945
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1390 N POPLAR FORK RD, Hurricane, WV 25526

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Amanda Tanner Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7416416508
PECOS Enrollment IDI20260828002277

Medicare Billing Reassignment

Medicare enrollment records show Amanda Tanner reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
116 APPLEWOOD DR
Ona, WV 25545
  • Reassigned Medicare billing, West Virginia enrollment
  • 45 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1390 N POPLAR FORK RD
HURRICANE, WV 25526
Physical Therapy Assistant
1390 N POPLAR FORK RD
HURRICANE, WV 25526
Skilled Nursing Facility
1390 N POPLAR FORK RD
HURRICANE, WV 25526
Physical Therapy Assistant
1390 N POPLAR FORK RD
HURRICANE, WV 25526
Speech-Language Pathologist
1390 N POPLAR FORK RD
HURRICANE, WV 25526
Physical Therapy Assistant
1390 N POPLAR FORK RD
HURRICANE, WV 25526
Occupational Therapy Assistant
1390 N POPLAR FORK RD
HURRICANE, WV 25526
Physical Therapy Assistant
1390 N POPLAR FORK RD
HURRICANE, WV 25526

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Tanner's NPI number?

The NPI number for Amanda Tanner is 1083305460. It was assigned to this individual provider in the NPPES registry on May 17, 2023.

Where is Amanda Tanner located?

Amanda Tanner practices at 1390 N Poplar Fork Rd, Hurricane, WV 25526. The listed phone number is (304) 757-7826.

What is Amanda Tanner's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Amanda Tanner enrolled in Medicare?

Yes. Amanda Tanner is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Amanda Tanner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Amanda Tanner reassigns Medicare benefits to Powerback Rehabilitation LLC (Ona, WV). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Amanda Tanner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Amanda Tanner was last updated on May 17, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.