Jamika Lashondra Tatum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 3093 Issued in AR

Practice address

1112 S 48TH St
Suite B
Springdale, AR 72762-5848

Phone

(479) 751-3900

Fax

(479) 751-3011

NPI assigned

Oct 22, 2008

Last updated

Oct 22, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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)

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.

• A. Yumang Rehab Serivces, PA

  • Physical Therapist
  • Springdale, AR
  • NPI 1356435358
  NPD (past)

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

{
    "created_epoch": "1224633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1224633600000",
    "number": "1578715447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "TONTITOWN",
            "state": "AR",
            "postal_code": "727700871",
            "telephone_number": "479-751-3900",
            "fax_number": "479-751-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1112 S 48TH ST",
            "address_2": "SUITE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625848",
            "telephone_number": "479-751-3900",
            "fax_number": "479-751-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JAMIKA",
        "middle_name": "LASHONDRA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-22",
        "last_updated": "2008-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT 3093",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Brooke Symonds
• Kristina Ta
• Grace E Tandoh, MHPP
• Pierrette Larisse Laure Tantchou, M.D.
• Merritt Grace White Tate, ED.S.
• Anna Grace Taylor
• Bethany Grace Taylor, PA
• Clinton H Taylor, MD
• Dawn M Taylor, PTA
• Loren Krzysko Taylor, PT, DPT

• Physical Therapist in Springdale, AR
• Providers in Springdale, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2008; 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.