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

Tanner Keith Revis, PT

Individual provider Physical Therapist · NPI 1811878341

Tanner Keith Revis, PT is a Physical Therapist in Private Practice in Asheville, North Carolina. Qualified in 2024, 2 years ago. Practices with Southeastern Physical Therapy, LLC, a 21-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
2
Licensed in
NC
In the registry since
2025
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

1256 Hendersonville Rd
Asheville, NC 28803-1905
Phone: (828) 412-5330
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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 P24366 (NC)

Record details

NPI number1811878341
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 10, 2025
Last updated in NPPESOctober 30, 2025
Certification dateOctober 30, 2025

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 Southeastern Physical Therapy, Llc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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