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

Mr. Tanner Ray Timmerman, PT, DPT

Individual provider Physical Therapist · NPI 1710425210

Mr. Tanner Ray Timmerman, PT, DPT is a Physical Therapist in Private Practice in Council Bluffs, Iowa. Qualified in 2016, 10 years ago. Practices with Athletico Ltd, a 2,186-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Nebraska.

Years since qualifying
10
Licensed in
NE
In the registry since
2017
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

301 W Broadway Ste 100
Council Bluffs, IA 51503-9071
Phone: (712) 322-9688
Fax: (712) 322-1299
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2403 S 133rd Plz, Omaha, NE 68144-5905 — (402) 330-8433
  • 2403 S 133rd Plz, Omaha, NE 68144-5905 — (402) 330-8433

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 3673 (NE)

Record details

NPI number1710425210
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 3, 2017
Last updated in NPPESMarch 17, 2018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2016 (10 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Council Bluffs