Seth Tatum, PT, DPT, ATC
NPI 1205032646ActiveIndividual· Physical Therapist· Independence, MO
Physical Therapist (PT, DPT, ATC) with Select Physical Therapy Holdings Inc, practicing in Independence, Missouri. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1205032646 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PT, DPT, ATC |
| Sole proprietor | Yes |
| NPI issued | Jun 22, 2007 |
| Last updated in NPPES | Jan 13, 2022 |
| Certified by provider | Jan 13, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 2016019546 | MO |
| Physical Therapist | 225100000X | 11-05562 | KS |
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) | Enrolled Practitioner - Physical Therapist in Private Practice (MO) |
|---|
Education and affiliations
| Graduation year | 2007 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Select Physical Therapy Holdings IncClarksville, TN · 2,024 clinicians
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