IndividualActive
Charles Tillman, PT
NPI 1336124809 · Physical Therapist · Pawnee, OK
Provider details
- NPI number
- 1336124809
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- License
- 3469 (OK)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 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
1201 Heritage Cir
Pawnee, OK 74058-3744
Phone: (918) 762-6653
Fax: (918) 762-6656
Approximate (ZIP-level) locationGet directions
Mailing address
5017 E Lakeview Rd
Stillwater, OK 74075-3022
Registry dates
- Enumerated
- 2005-12-07
- Last updated
- 2007-07-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.