DR. TANNER BRYCE WILSON PT, DPT
NPI 1821872987
Clinic/Center - Physical Therapy in Lebanon, KY

Active since August 21, 2023Accepts Medicare Assignment
703 E MAIN ST UNIT 1, LEBANON, KY 40033(270) 699-9503 Get Directions Write a Review

NPPES record last updated: August 21, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Tanner Bryce Wilson Pt, Dpt NPPES

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

DR. TANNER BRYCE WILSON PT, DPT (NPI 1821872987) is an individual physical therapy provider in Lebanon, Kentucky, licensed in Kentucky (008824) and active in the NPI registry since August 2023. He is a graduate of Other (2022).

NPPES Registry Identity

NPI1821872987
Entity TypeIndividualMale
Primary Taxonomy261QP2000X
Provider Legal NameDR. TANNER BRYCE WILSONCredential: PT, DPT
Location Address703 E MAIN ST UNIT 1Lebanon, KY 40033-8696
Mailing Address145 Heart LnCampbellsville, KY 42718-7376 · (270) 670-2823
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateAugust 21, 2023
NPPES CertifiedAugust 21, 2023
✔ NPI 1821872987 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
License✔ Licensed in KY · 008824
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
703 E MAIN ST UNIT 1, Lebanon, KY 40033

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

Dr. Tanner Bryce Wilson Pt, Dpt 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 ID1951744291
PECOS Enrollment IDI20240203000504

Medicare Billing Reassignments

2

Medicare enrollment records show Tanner Wilson reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Physical Therapy
703 E MAIN ST, STE 1
Lebanon, KY 40033
  • Reassigned Medicare billing, Kentucky enrollment
  • 70 clinicians in this Medicare group
Rehabilitation
2618 RING RD STE 110
Elizabethtown, KY 42701
  • Reassigned Medicare billing, Kentucky enrollment
  • 221 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 40033 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
$162.27 typical visit price
range $52.76 – $162.27
Typical copayment $40.56 (range $13.19 – $40.56)
Most-billed visit code 99205
Established Patient
$93.94 typical visit price
range $16.53 – $131.99
Typical copayment $23.48 (range $4.13 – $32.99)
Most-billed visit code 99214
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 5

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

Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033
Physical Therapist
703 E MAIN ST UNIT 1
LEBANON, KY 40033

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 Wilson's NPI number?

The NPI number for Tanner Wilson is 1821872987. It was assigned to this individual provider in the NPPES registry on August 21, 2023.

Where is Tanner Wilson located?

Tanner Wilson practices at 703 E Main St Unit 1, Lebanon, KY 40033. The listed phone number is (270) 699-9503.

What is Tanner Wilson's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is Tanner Wilson enrolled in Medicare?

Yes. Tanner Wilson 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 organizations bill Medicare for Tanner Wilson's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tanner Wilson reassigns Medicare benefits to 2 organizations: Kentucky Orthopedic Rehabilitation LLC (Lebanon, KY) and Sn Kentuckiana Rehab, LLC (Elizabethtown, KY). 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 Tanner Wilson's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tanner Wilson accept?

Health plans from Anthem Blue Cross and Blue Shield list Tanner Wilson 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 Wilson was last updated on August 21, 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.