Individual provider Active NPI

Tala Thorne-Bateman, DPT

  • Physical Therapist
  • Tulsa, OK
National Provider Identifier
1780571687
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6699 Issued in OK
Practice address
4765 E 91St St Ste 100
Tulsa, OK 74137-2843
Phone
(539) 444-4229
Fax
(539) 444-4487
NPI assigned
Jun 23, 2025
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6699 OK Primary

Addresses

Primary practice location

4765 E 91St St Ste 100
Tulsa, OK 74137-2843

Mailing address

4613 E 25TH St
Tulsa, OK 74114-4809
Phone (918) 859-8763

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250714000819 OK Practitioner - Physical Therapist in Private Practice 6709391378 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Renew Physical Therapy Specialists PLLCGroup PAC ID 2466842992, 3 clinicians

Practice addresses (Care Compare)

4765 E 91St St
Suite 100
Tulsa, OK 74137-2843
Phone (918) 698-4402

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renew Physical Therapy Specialists PLLC Physical Therapist CurrentSince Jul 1, 2025 Accepting new patients

Locations

4765 E 91st St
Ste 100
Tulsa, OK 74137
Phone (539) 444-4229

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1750636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1780571687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4613 E 25TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741144809",
            "telephone_number": "918-859-8763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4765 E 91ST ST STE 100",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741372843",
            "telephone_number": "539-444-4229",
            "fax_number": "539-444-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THORNE-BATEMAN",
        "first_name": "TALA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-06-23",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "6699",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2025; 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.