TANNER LOUIS KING (PT, DPT) – Physical Therapist, NPI 1245951631

TANNER LOUIS KING (PT, DPT) is a healthcare provider. based in Chanhassen, Minnesota. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT. They hold a License No. 12816 (MN). The NPI Number for TANNER LOUIS KING (PT, DPT) is 1245951631

Main info

Male
4 Years Of Experience
Accepts Medicare Assignment
Name
TANNER LOUIS KING (PT, DPT)
NPI
1245951631
Phone
(952) 448-9081
Address
7872 CENTURY BLVD
Enumeration Date
6 September 2022
Last Update Date
6 September 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9524489081
Graduation Year
2022 (4 years ago)
PAC ID
3072999150
Group Practice PAC ID
6103176540
Professional Enrollment ID
I20220927000793
Address ID
MN553178005CH7872XBLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

2,109 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN

Provider Addresses for TANNER LOUIS KING (PT, DPT)

  • 7872 CENTURY BLVD

    CHANHASSEN, MN 553178005

    Phone: (952) 448-9081

    Fax: (952) 448-9088

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2022-09-27

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20220927000793IPhysical Therapist In Private PracticeMNTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes58134$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes23724$0
97530Therapy procedure using functional activities17518$0
97140Therapy procedure using manual technique, each 15 minutes11423$0
97162Evaluation for physical therapy, typically 30 minutes1111$0
View full utilization report →

Insurance plans in this area (ZIP 55317)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6103176540View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
Physical Therapist In Private PracticeMN
-MN
Physical Therapist In Private PracticeMN

Reviews

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Frequently asked questions

What is the 10-digit NPI for TANNER LOUIS KING (PT, DPT)?
TANNER LOUIS KING (PT, DPT) — NPI 1245951631 — is the standard way to identify this listing.
Can I rely on TANNER LOUIS KING (PT, DPT) being an active provider?
As of the registry snapshot, TANNER LOUIS KING (PT, DPT) is marked active.
What healthcare role does TANNER LOUIS KING (PT, DPT) hold?
Scheduling teams often label TANNER LOUIS KING (PT, DPT) under Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for TANNER LOUIS KING (PT, DPT)?
TANNER LOUIS KING (PT, DPT)'s geographic hint is Chanhassen, Minnesota in our summary view.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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