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

Michelle Coryell Tanner, PT

Individual provider Physical Therapist · NPI 1275738593

Michelle Coryell Tanner, PT is a Physical Therapist in Private Practice in Hiram, Georgia. Qualified in 2007, 19 years ago. Practices with Independent Physical Therapy of Georgia LLC, a 529-clinician group and accepts Medicare assignment. Licensed in Georgia.

Years since qualifying
19
Licensed in
GA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

45 Enterprise Path Ste 101
Hiram, GA 30141-2691
Phone: (770) 439-4045
Fax: (770) 439-4085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (GA)

Record details

NPI number1275738593
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 18, 2007
Last updated in NPPESNovember 19, 2010
Mailing address8823 Production Ln, Ooltewah, TN 37363-6511

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Independent Physical Therapy Of Georgia Llc — 529 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations6 on file with Medicare

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