Individual provider · Type 1 NPI

Michael James Tankovich, PT, DPT, ATC

Sports Physical Therapist · Fort Bragg, NC

NPI number 1629414123 Active

Practice location

2817 Rock Merritt Ave, Womack Army Medical Center
Fort Bragg, NC 28310-0001

Fax (910) 907-6069

Specialties and licenses

TaxonomyCodeLicense
Athletic Trainer 2255A2300XA1 60294852 (WA)
Sports Physical Therapist Primary 2251S0007XP23047 (NC)

Sports Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Sports Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science, pathology and pathophysiology, medical and surgical intervention, and health and wellness, as well as rehabilitation/return to sports, management of acute injury/illness, medica…

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About NPI 1629414123

Michael James Tankovich, PT, DPT, ATC's National Provider Identifier is 1629414123, issued on May 11, 2013. The primary taxonomy on file is Sports Physical Therapist (2251S0007X), and the practice location is in Fort Bragg, NC. The record was last updated on Feb 23, 2026.