DR. MICHAEL JAMES TANKOVICH (NPI# 1629414123) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629414123 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL JAMES TANKOVICH |
| Credential | PT, DPT, ATC |
| Practice Address |
12 Seahawks Way Renton WA 98056-1572 |
| Practice Telephone | 4252038278 |
| Practice Fax Number | 4252038275 |
| Mailing Telephone | 4252038278 |
| Mailing Fax Number | 4252038275 |
| Enumeration Date | 2013-05-11 |
| Last Update Date | 2013-05-11 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251S0007X |
Physical Therapist Specialization: Sports |
PT 60293633 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
A1 60294852 | WA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659305191 | Michael Charles Tankovich | Optometrist | 3540-c North 126th Street, Brookfield, WI 53005-2403 | 2006-07-10 |
| Street Address |
12 SEAHAWKS WAY |
| City | RENTON |
| State | WA |
| Zip Code | 98056-1572 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891131397 | Christopher Jon Neumann | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2013-05-11 |
| 1801369368 | Trevor Franklin Merritt | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2019-01-08 |
| 1255807319 | Mackenzie Leigh Marques | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2018-10-16 |
| 1649709767 | Aldair Rodriguez | Specialist/Technologist | 12 Seahawks Way, Renton, WA 98056-1572 | 2017-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912496456 | Lashanda Mccurdy | Massage Therapist | 401 Olympia Avenue Ne, Renton, WA 98056 | 2018-05-09 |
| 1962949545 | Andrea Floth | Behavioral Analyst | 1177 Harrington Ave Ne #304, Renton, WA 98056 | 2017-01-20 |
| 1841695467 | Angelica Tran | Pharmacist | 455 Bronson Way North East, Renton, WA 98056 | 2014-10-24 |
| 1992844534 | Kathleen Maura Koenig | Physical Therapist | 7215 116th Ave Se, Newcastle, WA 98056 | 2007-02-06 |
| 1104975226 | Letha Fernandez | Counselor | 2503 Camas Ave Ne, Renton, WA 98056 | 2007-01-09 |
| 1760402366 | See Jane Inc | Optometrist | 12660 164th Ave Ste A, Renton, WA 98056 | 2006-07-20 |
| 1205860509 | Marta E Long | Internal Medicine | 275 Bronson Way Se, Renton, WA 98056 | 2006-07-10 |
| 1538721931 | Kiabet Sarahi Patino | Counselor | 7972 Maple Ave Se, Snoqualmie, WV 98056 | 2019-07-05 |
| 1710331483 | Aditi Dhar | Family Medicine | 7203 129th Ave Se Ste 100, Newcastle, WA 98056 | 2016-04-19 |
| 1215212287 | Emmie Yun-mei Lo | Pharmacist | 3011 Ne Sunset Blvd, Renton, WA 98056 | 2011-10-20 |
| Find all providers in zip 98056 | ||||
| Taxonomy Code | 2251S0007X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Sports |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083941264 | Steven Wesley Heinrich | Physical Therapist | 1322 North Ash Street, Walgreens / Option Care Home Care, Spokane, WA 99201-2804 | 2009-11-10 |
| 1386252484 | Corey M O'malley Pt, Dpt, Pllc | Physical Therapist | 12707 120th Ave Ne Ste 100, Kirkland, WA 98034-7500 | 2020-07-15 |
| 1023671625 | Reverve LLC | Physical Therapist | 114 Alaskan Way S Apt 506, Seattle, WA 98104-2585 | 2019-04-18 |
| 1891276994 | Caitlin Paskewich | Physical Therapist | 110 110th Ave Ne Ste 110, Bellevue, WA 98004-5840 | 2018-08-27 |
| 1003218447 | Robert Joseph Roller Jr. | Physical Therapist | 9040 Jackson Ave, Tacoma, WA 98431-0001 | 2014-09-17 |
| 1740689520 | G4 Athlete LLC | Physical Therapist | 2737 77th Ave Se, Suite 214, Mercer Island, WA 98040-2830 | 2014-08-18 |
| 1629192497 | Rebecca A Forkan | Physical Therapist | 20109 Aurora Ave N Ste 105, Shoreline, WA 98133-3127 | 2007-03-19 |
| 1407993553 | Randy A Notebloom | Physical Therapist | 904 7th Ave, Seattle, WA 98104-1132 | 2007-01-30 |
| 1356413280 | Jet City Enterprists Inc | Physical Therapist | 11304 8th Ave Ne, Suite A, Seattle, WA 98125-6111 | 2006-11-15 |
| 1922087386 | Erin E Patterson | Physical Therapist | Naval Hospital Bremerton, Bremerton, WA 98370-0000 | 2006-01-13 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.