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

Travis Tanasse, PT

Individual provider Physical Therapist · NPI 1811210040

Travis Tanasse, PT is a Physical Therapist in Private Practice in Granite Bay, California. Qualified in 2009, 17 years ago. Practices with Pro Dynamic Physical Therapy Inc, a 2-clinician group and accepts Medicare assignment.

Years since qualifying
17
In the registry since
2010
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

6910 Douglas Blvd Ste D
Granite Bay, CA 95746-6276
Phone: (916) 318-6964
Fax: (916) 318-6965
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1811210040
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedMarch 2, 2010
Last updated in NPPESNovember 25, 2025
Certification dateNovember 25, 2025
Mailing address6910 Douglas Blvd Ste D, Granite Bay, CA 95746-6276

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2009 (17 years in practice)
Group practice Pro Dynamic Physical Therapy Inc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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