Omar Tatum
NPI 1114177623 · Physical Therapy Assistant · Milwaukee, WI
Omar Tatum is a Physical Therapy Assistant provider in Milwaukee, WI (NPI 1114177623).
Provider details
- NPI number
- 1114177623
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- Yes
- License
- 1198-19 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2008-09-22
- Last updated
- 2008-09-22
Frequently asked questions
- What is Omar Tatum's NPI number?
- Omar Tatum's National Provider Identifier (NPI) is 1114177623, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Omar Tatum's specialty?
- Omar Tatum is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Omar Tatum located?
- Omar Tatum's practice location on file with NPPES is 1435 W Brown St, Milwaukee, WI 53205-1227.
- What is Omar Tatum's phone number?
- The practice phone number listed in the NPPES registry for Omar Tatum is (414) 418-8608.
- Is Omar Tatum's NPI active?
- Yes — Omar Tatum's NPI (1114177623) is active in the NPPES registry as of the last update on 2008-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.