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Active NPI 1891408001 Individual Practitioner Female Practitioner

Tatum Vanderpool

Physical Therapist • Mesa, AZ

✓ Accepts Medicare Assignment

Professional Overview & Biography Verified Profile Summary

Tatum Vanderpool is a certified Physical Therapist practicing in Mesa, AZ. With approximately 4 years of clinical experience since completing medical education in 2022, Tatum Vanderpool delivers high-quality medical care to the local community at 10165 E HAMPTON AVE STE 111.

Tatum Vanderpool is affiliated with 360 Physical Therapy Llc and accepts Medicare assignment.

Frequently performed procedures and clinical services include therapy procedure to re-educate brain-to-nerve-to-muscle function, each, therapy procedure using functional activities, therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

10165 E Hampton Ave Ste 111

Mesa, AZ 852093327

Telephone 4803545424
Associated Practice Facility / Clinic
🏢 Bhsm Rehabilitation, Llc Facility NPI 1306361357

Medicare Profile & Education

Medical School

Other

Graduation Year

2022

Medicare Assignment

✓ Accepts Assignment

Telehealth Flag

In-Person Only

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Mesa, AZ

Rising Specialist (<5 Yrs)
Practitioner Clinical Experience
4 Yrs -7.6 yrs vs City Avg
City Avg: 11.6 Yrs
State Avg: 16.3 Yrs
Regional Practice Density
413 Specialists

Practicing in Mesa, AZ (5415 Statewide)

Telehealth Adoption Rate
0.2% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.9% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Clinical Seniority & Experience Comparison

Dr. Vanderpool (4 Years) 4 Yrs
Mesa Specialty Average (11.6 Years) 11.6 Yrs

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97112 Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes
1,062 98 $65.00 $24.31
97530 Therapy procedure using functional activities
720 105 $68.00 $30.36
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
359 91 $68.00 $20.90
97140 Therapy procedure using manual technique, each 15 minutes
129 41 $67.00 $19.03
97113 Therapy procedure using water pool to exercises, each 15 minutes
110 16 $70.00 $25.47
97162 Evaluation for physical therapy, typically 30 minutes
50 50 $170.00 $96.88
97161 Evaluation of physical therapy, typically 20 minutes
27 25 $160.00 $97.41

Medical Specialties & State Licenses

CMS Verified: 2025-09-05
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License AZ LPT-32765

Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs: 1.Diagnose and manage movement dysfunction and enhance physical and functional abilities. 2.Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health. 3.Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries. 4.Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems. 5.Address the negative effects attributable to unique personal and environmental factors as they relate to human performance. 6.PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Hospital & Practice Group Affiliations

360 Physical Therapy Llc

4210 E Baseline Rd, Mesa, AZ 852064418

Phone: 4805032373

Secondary Practice Locations

4210 E Baseline Rd Ste 106

Mesa, AZ 852064418

Phone: 4806927624

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

11 Associated Practitioners
NPI 1104666148

Physical Therapist, Doctor of Physical Therapy

Chaz Smith

Physical Therapist

NPI 1174208995
Shelby Peerboom

Physical Therapist

NPI 1255134631
Brady Tuckner , PT

Physical Therapist

NPI 1407710361

Physical Therapist

Jiyea Park

Occupational Therapist

NPI 1417543471
Robert Ruiz , PTA

Physical Therapy Assistant

NPI 1548927833

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

8 Historical Events
📍
Updated Practice Location September 05, 2025

Registered at 10165 E HAMPTON AVE STE 111, MESA, AZ 852093327 (Tel: 4803545424)

📍
Updated Business Mailing Address September 05, 2025

Registered at 10512 E NICHOLS AVE, MESA, AZ 852097894 (Tel: 9492262091)

NPI Profile Active January 03, 2023

NPI status registered as active in NPPES database

📍
Updated Practice Location January 03, 2023

Registered at 4210 E BASELINE RD STE 106, MESA, AZ 852064418 (Tel: 4806927624)

📍
Updated Business Mailing Address January 03, 2023

Registered at 9810 E SUNSPOT DR, MESA, AZ 852121109 (Tel: 9492262091)

👤
Provider Name / Credentials Updated January 03, 2023

Recorded as TATUM VANDERPOOL

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 03, 2023

Physical Therapist (License #LPT-32765 in AZ)

🟢
Initial NPI Registration & Enumeration January 03, 2023

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1891408001
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 03, 2023
Last Update: September 05, 2025
Sole Proprietor: Yes

Mailing Address

10512 E Nichols Ave

Mesa, AZ 852097894

Phone: 9492262091

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.