TANNER JOSEPH FARLEY (DPT) – Physical Therapist, NPI 1003793639

TANNER JOSEPH FARLEY (DPT) is a healthcare provider. based in Mcminnville, Oregon. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials DPT. They hold a License No. 65857 (OR). The NPI Number for TANNER JOSEPH FARLEY (DPT) is 1003793639

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
TANNER JOSEPH FARLEY (DPT)
NPI
1003793639
Phone
(971) 678-6331
Address
2304 NW SHADDEN DR
Enumeration Date
18 August 2025
Last Update Date
18 August 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5039828544
Graduation Year
2025 (1 year ago)
PAC ID
2163928946
Group Practice PAC ID
8022022342
Professional Enrollment ID
I20251001000747
Address ID
OR970712811WO2241XRDXX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness85
Years active:0State licenses:1Digital endpointsOther names

1,808 PHYSICAL THERAPIST IN PRIVATE PRACTICE in OR

Provider Addresses for TANNER JOSEPH FARLEY (DPT)

  • 2304 NW SHADDEN DR

    MCMINNVILLE, OR 971286638

    Phone: (971) 678-6331

    Type: Mailing

  • 2241 COUNTRY CLUB RD

    WOODBURN, OR 970712811

    Phone: (503) 982-8544

    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: 2025-10-01

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
I20251001000747IPhysical Therapist In Private PracticeORTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 97128)

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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: 8022022342View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOR
-OR
Physical Therapist In Private PracticeOR

Reviews

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Frequently asked questions

Can I verify TANNER JOSEPH FARLEY (DPT) with an NPI only?
You can start verification with NPI 1003793639 for TANNER JOSEPH FARLEY (DPT), then check state licensing separately.
Is TANNER JOSEPH FARLEY (DPT) listed as active for patients and plans?
The listing shows TANNER JOSEPH FARLEY (DPT) as active in the NPI system.
What is TANNER JOSEPH FARLEY (DPT)'s primary classification?
Physical Therapist is the headline specialty for TANNER JOSEPH FARLEY (DPT) here. Clinical services aligned with this taxonomy classification.
What address line appears for TANNER JOSEPH FARLEY (DPT)?
TANNER JOSEPH FARLEY (DPT)'s geographic hint is Mcminnville, Oregon 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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