Jesse Tatum

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

8449 SW State Rd 200
Ocala, FL 34481

Phone

(352) 254-2279

NPI assigned

May 24, 2022

Sex

Male

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

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

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

{
    "created_epoch": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653350400000",
    "number": "1992443501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4411 SW 34TH ST APT 1003",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326082565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8449 SW STATE RD 200",
            "city": "OCALA",
            "state": "FL",
            "postal_code": "34481",
            "telephone_number": "352-254-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TATUM",
        "first_name": "JESSE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2022-05-24",
        "certification_date": "2022-05-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Skylar Tanner
• Kellie Tannock, APRN
• Tricia Tarantino, BCBA
• Aneta Tarasiuk-Rusek, M.D.
• Rebecca J Tarver, DMD
• Harvey Carl Taub, MD
• Pablo Taveras
• Matthew George Tayem, DO
• Bradley Taylor, PHARMD
• Brooke Burkins Taylor, DO

• Physical Therapist in Ocala, FL
• Providers in Ocala, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2022; 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.