Travis Tanasse, PT in Granite Bay, CA - Medicare Physical Therapist In Private Practice Provider

Travis Tanasse, PT is a medicare enrolled "Physical Therapist" provider in Granite Bay, California. He graduated from medical school in 2009 and has 16 years of diverse experience with area of expertise as Physical Therapist In Private Practice. He is a member of the group practice Pro Dynamic Physical Therapy Inc and his current practice location is 6910 Douglas Blvd Ste D, Granite Bay, California. You can reach out to his office (for appointments etc.) via phone at (916) 318-6964.

Travis Tanasse is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1811210040.

Contact Information

	Travis Tanasse, PT
	6910 Douglas Blvd Ste D, Granite Bay, CA 95746-6276
	(916) 318-6964
	(916) 318-6965

Map and Direction

Healthcare Provider's Profile

Full Name	Travis Tanasse
Gender	Male
Speciality	Physical Therapist In Private Practice
Experience	16 Years
Location	6910 Douglas Blvd Ste D, Granite Bay, California
Accepts Medicare Assignments	Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.

Medical Education and Training:

Travis Tanasse graduated from medical school in 2009

NPI Data:

NPI Number: 1811210040
Provider Enumeration Date: 03/02/2010
Last Update Date: 11/25/2025

Medicare PECOS Information:

PECOS PAC ID: 3072640432
Enrollment ID: I20100416000606

Medical Identifiers

Medical identifiers for Travis Tanasse such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1811210040	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Group Practice Association

Group Practice Name	Group PECOS PAC ID	No. of Members
Pro Dynamic Physical Therapy Inc	2567768880	2

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Travis Tanasse allows following entities to bill medicare on his behalf.

Provider Name	Pro Dynamic Physical Therapy Inc.
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1437522455 PECOS PAC ID: 2567768880 Enrollment ID: O20160314001107

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Travis Tanasse is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Travis Tanasse, PT 6910 Douglas Blvd Ste D, Granite Bay, CA 95746-6276 Ph: (916) 318-6964	Travis Tanasse, PT 6910 Douglas Blvd Ste D, Granite Bay, CA 95746-6276 Ph: (916) 318-6964

Reviews and Comments

Physical Therapist in Granite Bay, CA

Katrina Myers, PT, DPT Physical Therapist Medicare: May Accept Medicare Assignments Practice Location: 6910 Douglas Blvd Ste D, Granite Bay, CA 95746 Phone: 916-318-6964
Robert Palvolgyi, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 9376 Wellington Way, Granite Bay, CA 95746 Phone: 408-409-3296
Granite Bay Physical Therapy Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6910 Douglas Blvd, Suite D, Granite Bay, CA 95746 Phone: 916-791-5011 Fax: 916-791-3211
Christopher Headrick, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 6910 Douglas Blvd, Suite D, Granite Bay, CA 95746 Phone: 916-791-5011 Fax: 916-791-3211
Pro Dynamic Physical Therapy Inc. Physical Therapist Medicare: Medicare Enrolled Practice Location: 6910 Douglas Blvd Ste D, Granite Bay, CA 95746 Phone: 916-318-6964 Fax: 916-318-6965
Heidi Rempfer Pant, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 9354 Macduff Ct, Granite Bay, CA 95746 Phone: 916-817-9591

Travis Tanasse, PT - Medicare Physical Therapist in Granite Bay, CA