Charlee Nussbaum, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3453 Issued in OK

Practice address

14002 E 21St St Ste 650
Tulsa, OK 74134-1425

Phone

(405) 355-3239

NPI assigned

Aug 16, 2021

Last updated

Aug 16, 2021By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Einstein Therapy Center, Inc.

  dba Fundamental Therapy Solutions of Oklahoma

  • Occupational Therapist
  • Tulsa, OK
  • NPI 1578327029
  NPD (past)
• Einstein Therapy Center, Inc.

  dba Fundamental Therapy Solutions

  • Speech-Language Pathologist
  • Gainesville, FL
  • NPI 1114068822
  NPD (past)

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

{
    "created_epoch": "1629072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629072000000",
    "number": "1265107874",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20740 E 45TH ST S",
            "city": "BROKEN ARROW",
            "state": "OK",
            "postal_code": "740148741",
            "telephone_number": "918-207-9233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14002 E 21ST ST STE 650",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741341425",
            "telephone_number": "405-355-3239"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3312 S Peoria Ave",
            "address_purpose": "LOCATION",
            "city": "Tulsa",
            "state": "OK",
            "postal_code": "741052029",
            "country_code": "US",
            "telephone_number": "918-400-0089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NUSSBAUM",
        "first_name": "CHARLEE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-16",
        "last_updated": "2021-08-16",
        "certification_date": "2021-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OK",
            "license": "3453",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Muhammad Saleh Nur, PT, DPT
• Mary Lou Nurriestearns, LCSW
• Nurse Practitioner Services of Oklahoma
• Nurtured in Natural Environments Ranch, LLC (9Ranch)
• Rebecca Michelle Nuss, MD
• Ryan Andrew Nussbaum, PA-C
• Steven L. Nussbaum, D.O.
• Nutrition Care, LLC
• Nutrition Consultants of Tulsa, LLC
• Nutrition Specialists of Northeastern Oklahoma

• Physical Therapy Assistant in Tulsa, OK
• Providers in Tulsa, OK by specialty
• Physical Therapy Assistant in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2021; 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.