TANNER SPADE DPT, OCS, SCS
NPI 1659961845
Physical Therapist in Buffalo, WY

Active since January 21, 2021Accepts Medicare Assignment
109 W HESSE ST, BUFFALO, WY 82834(307) 621-0935(844) 409-0424 Get Directions Write a Review

NPPES record last updated: July 9, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 9, 2026, Jan 21, 2021 (2 updates tracked since 2021).

About Tanner Spade Dpt, Ocs, Scs NPPES

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

TANNER SPADE DPT, OCS, SCS (NPI 1659961845) is an individual physical therapist in Buffalo, Wyoming, licensed in Wyoming (PT-1715) and active in the NPI registry since January 2021. He is a graduate of Other (2017).

NPPES Registry Identity

NPI1659961845
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTANNER SPADECredential: DPT, OCS, SCS
Location Address109 W HESSE STBuffalo, WY 82834-1501
Mailing Address109 W Hesse StBuffalo, WY 82834-1501 · (307) 621-0935 · Fax (844) 409-0424
Fax(844) 409-0424
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateJanuary 21, 2021
Last NPPES UpdateJuly 9, 20262 updates tracked since enumeration
NPPES CertifiedJuly 9, 2026
✔ NPI 1659961845 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 WY · PT-1715
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.
109 W HESSE ST, Buffalo, WY 82834

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Tanner Spade Dpt, Ocs, Scs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8921416769
PECOS Enrollment IDI20210416000530

Medicare Billing Reassignment

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

Physical Therapy
109 W HESSE ST
Buffalo, WY 82834
  • Reassigned Medicare billing, Wyoming enrollment
  • 2 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 82834 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$87.12 typical visit price
range $56.42 – $170.72
Typical copayment $21.78 (range $14.10 – $42.68)
Most-billed visit code 99203
Established Patient
$70.32 typical visit price
range $18.19 – $139.32
Typical copayment $17.58 (range $4.54 – $34.83)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

Chiropractor
109 W HESSE ST
BUFFALO, WY 82834
Clinic/Center (Physical Therapy)
109 W HESSE ST
BUFFALO, WY 82834
Chiropractor
109 W HESSE ST
BUFFALO, WY 82834
Residential Treatment Facility, Physical Disabilities
109 W HESSE ST
BUFFALO, WY 82834
Physical Therapy Assistant
109 W HESSE ST
BUFFALO, WY 82834
Chiropractor
109 W HESSE ST
BUFFALO, WY 82834
Chiropractor
109 W HESSE ST
BUFFALO, WY 82834
Chiropractor (Neurology)
109 W HESSE ST
BUFFALO, WY 82834

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 Tanner Spade's NPI number?

The NPI number for Tanner Spade is 1659961845. It was assigned to this individual provider in the NPPES registry on January 21, 2021.

Where is Tanner Spade located?

Tanner Spade practices at 109 W Hesse St, Buffalo, WY 82834. The listed phone number is (307) 621-0935.

What is Tanner Spade's specialty?

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

Is Tanner Spade enrolled in Medicare?

Yes. Tanner Spade is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Tanner Spade's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Spade reassigns Medicare benefits to Black Tooth Physiotherapy Performance, LLC (Buffalo, WY). 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 Tanner Spade's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanner Spade accept?

Health plans from Blue Cross Blue Shield of Wyoming list Tanner Spade as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Tanner Spade was last updated on July 9, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 months 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.