Elijah Joseph Tedder, PTA
NPI 1184442709ActiveIndividual· Physical Therapy Assistant· Norman, OK
Physical Therapy Assistant (PTA) in Norman, Oklahoma, licensed in OK, NC and AZ, with an NPI issued in October 2024.
Overview
| NPI | 1184442709 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Oct 2, 2024 |
| Last updated in NPPES | Oct 2, 2024 |
| Certified by provider | Oct 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | 2970 | OK |
| Physical Therapy Assistant | 225200000X | A8125 | NC |
| Physical Therapy Assistant | 225200000X | 014468 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 36 physical therapist assistants in Norman · All physical therapist assistants in Oklahoma