Seth Tatum, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2016019546 Issued in MO

Practice address

19310 E 50TH Ter S
Suite a
Independence, MO 64055-5564

Phone

(816) 795-1507

Fax

(816) 795-1533

NPI assigned

Jun 22, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Physical Therapy Holdings IncGroup PAC ID 9537076401, 1,992 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Physical Therapy Holdings Inc

  • Rehabilitation Clinic/Center
  • Kansas City, MO
  • NPI 1033179510

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Select Physical Therapy Holdings, Inc.

  • Physical Therapy Clinic/Center
  • Parkville, MO
  • NPI 1831844885

  Physical Therapist

  NPD
• Select Physical Therapy Holdings Inc

  • Physical Therapy Clinic/Center
  • Ashland, VA
  • NPI 1174591218
  NPD

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

{
    "created_epoch": "1182470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1205032646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19310 E 50TH TER S",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555564",
            "telephone_number": "816-795-1507",
            "fax_number": "816-795-1533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19310 E 50TH TER S",
            "address_2": "SUITE A",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640555564",
            "telephone_number": "816-795-1507",
            "fax_number": "816-795-1533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "SETH",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-22",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KS",
            "license": "11-05562",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MO",
            "license": "2016019546",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Swope Health Services
• Jameshia Sykes
• Synergy Therapies LLC
• Muhammad Waseem Tahir, M.D
• Take Care of Yours, Inc
• Maikel Ezzat Go Tawadrous, M.D.
• Aubrianna Renee Taylor
• Breanna L Taylor
• John RW Taylor, MD
• Katelynn Nicole Taylor, MSPA, PA-C

• Physical Therapist in Independence, MO
• Providers in Independence, MO by specialty
• Physical Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.