Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Mackenzie Tanner

Individual provider Physical Therapist · NPI 1215777172

Mackenzie Tanner is registered under Physical Therapist in Private Practice in Missoula, Montana. Qualified in 2024, 2 years ago. Practices with Amy Sellman PT PLLC, a 6-clinician group and accepts Medicare assignment. Licensed in Montana.

Years since qualifying
2
Licensed in
MT
In the registry since
2024

Practice location Address checks out

2409 Dearborn Ave
Missoula, MT 59801-7596
Phone: (406) 543-7860
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PTP-PT-LIC-29796 (MT)

Record details

NPI number1215777172
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Amy Sellman Pt Pllc — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients17
Services billed 281 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Amy Sellman PT PLLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice.

Other providers in Missoula