TANNER RICHEY (PT) – Physical Therapist, NPI 1285203828

TANNER RICHEY (PT) is a healthcare provider. based in Lubbock, Texas. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 3127342 (TX). The NPI Number for TANNER RICHEY (PT) is 1285203828

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
TANNER RICHEY (PT)
NPI
1285203828
Phone
(806) 792-4329
Address
4110 22ND PL
Enumeration Date
18 June 2021
Last Update Date
18 June 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8067927200
Graduation Year
2021 (5 years ago)
PAC ID
6103271838
Group Practice PAC ID
2466404447
Professional Enrollment ID
I20231016001418
Address ID
TX794241146LU5044XAVEX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience32
Completeness75
Years active:4State licenses:1Digital endpointsOther names

5,353 PHYSICAL THERAPIST IN PRIVATE PRACTICE in TX

Provider Addresses for TANNER RICHEY (PT)

  • 4110 22ND PL

    LUBBOCK, TX 794101122

    Phone: (806) 792-4329

    Fax: (806) 792-9466

    Type: Mailing

  • 5044 FRANKFORD AVE

    LUBBOCK, TX 794241146

    Phone: (806) 792-7200

    Fax: (806) 792-7225

    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: 2023-10-16

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
I20231016001418IPhysical Therapist In Private PracticeTXTBD

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 minutes5112$0
View full utilization report →

Insurance plans in this area (ZIP 79410)

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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: 2466404447View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeTX
Physical Therapist In Private PracticeTX
Nurse PractitionerTX
Nurse PractitionerTX
Orthopedic SurgeryTX
-TX
Physical Therapist In Private PracticeTX
Orthopedic Surgery, Sports MedicineTX
Physician AssistantTX
Nurse PractitionerTX

Reviews

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Frequently asked questions

How do I look up TANNER RICHEY (PT) by NPI?
Use NPI 1285203828 when you need to reference TANNER RICHEY (PT) in forms, claims, or directories.
Is TANNER RICHEY (PT) currently active in the NPI registry?
CMS-published data lists TANNER RICHEY (PT) as an active registrant.
What field does TANNER RICHEY (PT) work in?
You can think of TANNER RICHEY (PT) as practicing within Physical Therapist. Clinical services aligned with this taxonomy classification.
What location shows for TANNER RICHEY (PT)?
We surface Lubbock, Texas for TANNER RICHEY (PT) based on available NPPES addresses.
How can I contact TANNER RICHEY (PT)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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