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

Tatum Vanderpool

Individual provider Physical Therapist · NPI 1891408001

Tatum Vanderpool is a Physical Therapist in Private Practice in Mesa, Arizona. Qualified in 2022, 4 years ago. Practices with 360 Physical Therapy LLC, a 85-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
4
Licensed in
AZ
In the registry since
2023
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Practice location Address checks out

10165 E Hampton Ave Ste 111
Mesa, AZ 85209-3327
Phone: (480) 354-5424
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4210 E Baseline Rd Ste 106, Mesa, AZ 85206-4418 — (480) 692-7624

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence LPT-32765 (AZ)

Record details

NPI number1891408001
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJanuary 3, 2023
Last updated in NPPESSeptember 5, 2025
Certification dateSeptember 5, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice 360 Physical Therapy Llc — 85 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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