MRS. TANYA M IMLER (DPT) – Physical Therapist, NPI 1629288345
Physical Therapist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,108 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MN
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Provider Addresses for MRS. TANYA M IMLER (DPT)
22797 BASS LAKE RD
OSAGE, MN 565709377
Phone: (218) 573-6401
Type: Mailing
PO BOX 74387
FAIRBANKS, AK 997074387
Phone: (612) 398-1716
Type: Mailing
619, 6th Street West, Park Rapids, Hubbard County, Minnesota, 56470, United States
PARK RAPIDS, MN 564701301
Phone: (218) 732-3329
Type: Location
122 1ST AVE STE 600
FAIRBANKS, AK 997014899
Phone: (907) 452-8251
Type: Location
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: 2024-08-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240807003769 | I | Physical Therapist In Private Practice | TX | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 56570)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | AZ | |
| Nurse Practitioner | AK | |
| - | TX | |
| Physician Assistant | TX | |
| - | AK | |
| - | ME | |
| Nurse Practitioner | GA | |
| Family Practice, Addiction Medicine, Osteopathic Manipulative Medicine | AK | |
| Physician Assistant | AK | |
| - | NY |
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