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

Tanner Depew

Individual provider Physical Therapist · NPI 1407696206

Tanner Depew is a Physical Therapist in Private Practice in Phoenix, Arizona. Qualified in 2024, 2 years ago. Practices with Texas Physical Therapy Specialists, Inc, a 234-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
2
Licensed in
AZ
In the registry since
2024

Practice location Address checks out

2827 W Peoria Ave Ste B112
Phoenix, AZ 85029-5217
Phone: (602) 610-8665
Fax: (623) 322-0664
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (AZ)

Record details

NPI number1407696206
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 29, 2024
Last updated in NPPESMay 29, 2024
Certification dateMay 29, 2024

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 Texas Physical Therapy Specialists, Inc — 234 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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