Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Spencer Jacob Tannenbaum, PT, DPT

Individual provider Physical Therapist · NPI 1730833609

Spencer Jacob Tannenbaum, PT, DPT is a Physical Therapist in Evergreen, Colorado. Licensed in Colorado. Registered with an NPI since 2022.

Licensed in
CO
In the registry since
2022
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

1262 Bergen Pkwy Unit E10
Evergreen, CO 80439-9546
Phone: (303) 674-7889
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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 18195 (CO)

Record details

NPI number1730833609
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 9, 2022
Last updated in NPPESFebruary 9, 2022
Certification dateFebruary 9, 2022

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