Tatum Teneke Aitson, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

2017 Issued in OK

Practice address

3030 NW Expressway Ste 809
Oklahoma City, OK 73112-5466

Phone

(405) 655-5636

NPI assigned

Jun 3, 2018

Last updated

Jun 3, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Tatum Teneke Reagan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1527984000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527984000000",
    "number": "1023500394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1312 NOEL DR",
            "city": "YUKON",
            "state": "OK",
            "postal_code": "730997017",
            "telephone_number": "405-425-9528",
            "fax_number": "405-425-9528"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3030 NW EXPRESSWAY STE 809",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125466",
            "telephone_number": "405-655-5636"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AITSON",
        "first_name": "TATUM",
        "middle_name": "TENEKE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-06-03",
        "last_updated": "2018-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "OK",
            "license": "2017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TATUM",
            "last_name": "REAGAN",
            "middle_name": "TENEKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mackenzie Lynn Ainsworth, FNP-C
• Kari M Ait Moussa
• Jolene Aitken, CPNP-AC
• Jeremy Aitson, PTA
• Joseph James Aitson III
• Mark Aittaniemi, M.D.
• Aj Brandon Counseling Services PLLC
• April Ajanwachukwu, LCSW
• Asha Ajesh, NP-C
• Djufo Yimfor Ajiboye

• Physical Medicine & Rehabilitation Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Physical Medicine & Rehabilitation Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.