Individual provider · Type 1 NPI

Charlee Nussbaum, PTA

Physical Therapy Assistant · Tulsa, OK

NPI number 1265107874 Active

Practice location

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

Mailing address

20740 E 45th St S
Broken Arrow, OK 74014-8741

Other practice locations

  • 3312 S Peoria Ave, Tulsa, OK 74105-2029 · (918) 400-0089

Specialties and licenses

TaxonomyCodeLicense
Physical Therapy Assistant Primary 225200000X3453 (OK)

Physical Therapy Assistant: (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of …

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About NPI 1265107874

Charlee Nussbaum, PTA's National Provider Identifier is 1265107874, issued on Aug 16, 2021. The primary taxonomy on file is Physical Therapy Assistant (225200000X), and the practice location is in Tulsa, OK. The record was last updated on Aug 16, 2021.