Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1669997888 Individual Practitioner Female Practitioner

Holly Tanner , PT

Physical Therapist • Melbourne, FL

Professional Overview & Biography Verified Profile Summary

Holly Tanner, PT is a registered healthcare professional specializing in Physical Therapist in Melbourne, FL. Practice services are available at 205 E NASA BLVD STE 100 under active NPI credentials.

Frequently performed procedures and clinical services include therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each, evaluation for physical therapy. Full Medicare procedure pricing transparency rates and service volume details are listed on this profile.

Practice Location & Contact Primary Location

Practice Address

205 E Nasa Blvd Ste 100

Melbourne, FL 329011953

Telephone 3213615628
Fax 3217284135
Associated Practice Facility / Clinic
🏢 Health First Physicians, Inc Facility NPI 1164474276

Specialty Benchmarks & Practice Insights

Comparative analytics for Physical Therapist in Melbourne, FL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 17.3 Yrs
State Avg: 17.0 Yrs
Regional Practice Density
139 Specialists

Practicing in Melbourne, FL (14601 Statewide)

Telehealth Adoption Rate
0.7% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
52.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2018)
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
97110 Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes
82 35 $61.00 $25.60
97162 Evaluation for physical therapy, typically 30 minutes
11 11 $167.00 $83.02

Medical Specialties & State Licenses

CMS Verified: 2020-03-16
Physical Therapist Primary Specialty

NUCC Taxonomy Code: 225100000X

State License FL PT14594

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
PENDING (FL)
Commercial Insurance / Payer ID Fl Medicare
JC407Z (FL)

Practice Associates & Co-Workers

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

2 Associated Practitioners
Stephen Schmoll , PA-C

Physician Assistant

NPI 1164833240

Physician Assistant (Certified)

Lizamar Korfhage , PA-C

Physician Assistant

NPI 1790750388

Physician Assistant (Certified)

Career & Practice History Timeline

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

11 Historical Events
NPI Profile Active August 30, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 30, 2017

Registered at 205 E NASA BLVD STE 100, MELBOURNE, FL 329011953 (Tel: 3214343350)

📍
Updated Business Mailing Address August 30, 2017

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: (321) 434-3350)

👤
Provider Name / Credentials Updated August 30, 2017

Recorded as HOLLY TANNER, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2017

Physical Therapist (License #PT14594 in FL)

NPI Profile Active August 09, 2017

NPI status registered as active in NPPES database

📍
Updated Practice Location August 09, 2017

Registered at 205 E NASA BLVD STE 100, MELBOURNE, FL 329011953 (Tel: 3214343350)

📍
Updated Business Mailing Address August 09, 2017

Registered at 3300 S FISKE BLVD, ROCKLEDGE, FL 329554306 (Tel: 3214341982)

👤
Provider Name / Credentials Updated August 09, 2017

Recorded as HOLLY TANNER, PT

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) August 09, 2017

Physical Therapist (License #PT14594 in FL)

🟢
Initial NPI Registration & Enumeration August 09, 2017

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: 1669997888
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 09, 2017
Last Update: March 16, 2020
Sole Proprietor: Yes

Mailing Address

3300 S Fiske Blvd

Rockledge, FL 329554306

Phone: 3214343350

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.