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DR. MICHAEL JAMES TANKOVICH PT DPT ATC NPI 1629414123


NPI Information

NPI: 1629414123
Provider Name: DR. MICHAEL JAMES TANKOVICH, PT, DPT, ATC
Classification: Physical Therapist - 2251S0007X
Entity Type: Individual

Specialization: Sports

Address:
12 SEAHAWKS WAY
RENTON, WA
ZIP 98056
Phone: (425) 203-8278
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DR. Michael James Tankovich, PT, DPT, ATC is a sports physical therapist in Renton, WA. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medical and surgical consideration, injury prevention, and sports performance enhancement. DR. Michael James Tankovich, PT, DPT, ATC NPI is 1629414123. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

12 SEAHAWKS WAY
RENTON, WA
ZIP 98056-572
Phone: (425) 203-8278
Fax: (425) 203-8275

The enumeration date for this NPI number is 5/11/2013 and was last updated on 5/11/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12255A2300XSpecialist/TechnologistAthletic TrainerA1 60294852WASHINGTONNo
22251S0007XPhysical TherapistSportsPT 60293633WASHINGTONYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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