Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Anthony Tatum

Individual provider Orthopedic Physical Therapist · NPI 1194458232

Anthony Tatum is a Physical Therapist in Private Practice in Bloomington, Minnesota. Qualified in 2022, 4 years ago. Practices with Tria Orthopaedic Center LLC, a 506-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
4
Licensed in
MN
In the registry since
2022

Practice location Address checks out

8100 Northland Dr
Bloomington, MN 55431-4800
Phone: (952) 993-4734
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 12698 (MN)

Record details

NPI number1194458232
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJuly 6, 2022
Last updated in NPPESJuly 6, 2022
Certification dateJuly 6, 2022
Mailing address8100 Northland Dr, Bloomington, MN 55431-4800

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Tria Orthopaedic Center Llc — 506 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Bloomington