SPENCER JACOB TANNENBAUM PT, DPT
NPI 1730833609
Physical Therapist in Evergreen, CO

Active since February 09, 2022
1262 BERGEN PKWY UNIT E10, EVERGREEN, CO 80439(303) 674-7889 Get Directions Write a Review

NPPES record last updated: February 9, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Spencer Jacob Tannenbaum Pt, Dpt NPPES

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

SPENCER JACOB TANNENBAUM PT, DPT (NPI 1730833609) is an individual physical therapist in Evergreen, Colorado, licensed in Colorado (18195) and active in the NPI registry since February 2022.

NPPES Registry Identity

NPI1730833609
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSPENCER JACOB TANNENBAUMCredential: PT, DPT
Location Address1262 BERGEN PKWY UNIT E10Evergreen, CO 80439-9546
Mailing Address1262 Bergen Pkwy Unit E10Evergreen, CO 80439-9546 · (303) 674-7889
Sole ProprietorNo
Enumeration DateFebruary 9, 2022
NPPES CertifiedFebruary 9, 2022
✔ NPI 1730833609 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 CO · 18195
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.
1262 BERGEN PKWY UNIT E10, Evergreen, CO 80439

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Spencer Jacob Tannenbaum Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignments

4

Medicare enrollment records show Spencer Tannenbaum reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Orthopaedic Surgery
660 GOLDEN RIDGE RD STE 250
Golden, CO 80401
  • Reassigned Medicare billing, Colorado enrollment
  • 431 clinicians in this Medicare group
Cardiovascular Disease
400 INDIANA ST STE 390
Golden, CO 80401
  • Reassigned Medicare billing, Colorado enrollment
  • 1,270 clinicians in this Medicare group
Physical Therapist
2200 S KIPLING ST
Lakewood, CO 80227
  • Reassigned Medicare billing, Colorado enrollment
  • Medicare enrollment name: Fit Physical Therapy Prof LLC
  • 29 clinicians in this Medicare group
Physical Therapist
501 S CHERRY ST FL 11
Denver, CO 80246
  • Reassigned Medicare billing, Colorado enrollment
  • 373 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.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes 97112
This therapy helps retrain your brain, nerves, and muscles to work together. Through targeted exercises, your body learns to regain lost functions or improve current abilities. Each session lasts 15 minutes.
86 services16 patients
Therapy procedure using functional activities 97530
A therapy procedure using functional activities encourages you to use your own body movements in day-to-day tasks to aid recovery. It aims to improve your mobility, strength, and overall health by incorporating therapeutic exercises into your routine.
70 services16 patients
Evaluation for physical therapy, typically 20 minutes 97161
An evaluation for physical therapy is a short, 20-minute assessment where your physical condition, mobility, and pain levels are examined. This helps in designing a personalized therapy plan to enhance your physical function and well-being.
15 services13 patients

Other Providers at the Same Location NPPES 9

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

Physical Therapist
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439
Physical Therapist
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439
Physical Therapist (Orthopedic)
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439
Physical Therapist
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439
Physical Therapist
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439
Clinic/Center (Physical Therapy)
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439
Physical Therapist
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439
Physical Medicine & Rehabilitation (Sports Medicine)
1262 BERGEN PKWY UNIT E10
EVERGREEN, CO 80439

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 Spencer Tannenbaum's NPI number?

The NPI number for Spencer Tannenbaum is 1730833609. It was assigned to this individual provider in the NPPES registry on February 9, 2022.

Where is Spencer Tannenbaum located?

Spencer Tannenbaum practices at 1262 Bergen Pkwy Unit E10, Evergreen, CO 80439. The listed phone number is (303) 674-7889.

What is Spencer Tannenbaum's specialty?

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

Is Spencer Tannenbaum enrolled in Medicare?

Yes. Spencer Tannenbaum is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Spencer Tannenbaum's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Spencer Tannenbaum reassigns Medicare benefits to 4 organizations: Panorama Orthopedics And Spine Center PC (Golden, CO), Intermountain Medical Group Denver, LLC (Golden, CO), Fit Physical Therapy (Lakewood, CO) and Colorado Luna Care Physical Therapy LLC (Denver, CO). Each 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 Spencer Tannenbaum's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Spencer Tannenbaum accept?

Health plans from Select Health list Spencer Tannenbaum 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 Spencer Tannenbaum was last updated on February 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.