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

Tanner Bohl

Individual provider Physical Therapist · NPI 1487495271

Tanner Bohl is a Physical Therapist in Private Practice in Auburn, Washington. Qualified in 2024, 2 years ago. Practices with Outpatient Physical Therapy and Sports Rehabilitation Inc PC, a 31-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
2
Licensed in
WA
In the registry since
2024
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Practice location Address checks out

1408 Lake Tapps Pkwy SE Ste E105
Auburn, WA 98092-8158
Phone: (253) 260-6614
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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 PU61524107 (WA)

Record details

NPI number1487495271
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedJune 4, 2024
Last updated in NPPESJune 4, 2024
Certification dateJune 4, 2024
Mailing address21318 18th St E, Lake Tapps, WA 98391-9326

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 Outpatient Physical Therapy And Sports Rehabilitation Inc Pc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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