TANNER SPADE DPT, OCS, SCS
NPI 1659961845
Physical Therapist in Buffalo, WY
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
Specialties & Licenses
- 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.
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.
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.
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.
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.
BUFFALO, WY 82834
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.