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

Mitchell Tannenbaum, PT

Individual provider Physical Therapist · NPI 1467592311

Mitchell Tannenbaum, PT is a Physical Therapist in Dyer, Indiana. Licensed in Illinois. Registered with an NPI since 2007.

Licensed in
IL
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

425 US Route 30 Ste 320
Dyer, IN 46311
Phone: (219) 864-0290
Fax: (219) 864-0376
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070002363 (IL)

Record details

NPI number1467592311
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedFebruary 8, 2007
Last updated in NPPESNovember 23, 2011
Mailing address205 W Wacker Dr, Suite 1020, Chicago, IL 60606-1216

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