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

Charles Clarke Tanner, MPT, COMT, ATC, CSCS

Individual provider Orthopedic Physical Therapist · NPI 1750304598

Charles Clarke Tanner, MPT, COMT, ATC, CSCS is a Physical Therapist in Private Practice in Richmond, Virginia. Qualified in 1999, 27 years ago. Practices with Thrive Physical Therapy Incorporated, a 7-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
27
Licensed in
VA
In the registry since
2006
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

7400 Beaufont Springs Dr Ste 120
Richmond, VA 23225-5556
Phone: (804) 320-2220
Fax: (804) 320-2226
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2305202905 (VA)

Record details

NPI number1750304598
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT , COMT , ATC , CSCS
Sole proprietorNo
NPI enumeratedJuly 25, 2006
Last updated in NPPESNovember 4, 2015

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1999 (27 years in practice)
Group practice Thrive Physical Therapy Incorporated — 7 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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