Jeremy Tackett, PTA

ActiveIndividual ProviderSpecialty not listed
NPI issued: May 31, 2007

Quick Facts

NPI Number
1043412364
TypeIndividual
StatusActive
SpecialtySpecialty not listed
Taxonomy225200000X — Specialty not listed
Phone
(918) 473-1748
StateOK

NPI Validation Status: Verified

Valid 10-digit NPI number (1043412364)
Active status confirmed
Verified by CMS NPPES Registry
HIPAA compliant identifier
Enumeration date on file (May 31, 2007)
Data source: CMS NPPES

Provider Overview

JEREMY TACKETT, PTA is a Healthcare provider based in Checotah, OK who has been registered with CMS since 2007. This NPI is currently Active under CMS NPPES registry.

Provider Details

NPI Number1043412364
Provider TypeIndividual Provider
GenderMale
CredentialPTA
StatusActive
Enumeration DateMay 31, 2007

Practice Location

CityChecotah
StateOK
ZIP Code74426-1250
Phone(918) 473-1748

Specialties & Licenses

★ Primary
SpecialtySpecialty not listed
Taxonomy Code225200000X
License StateOK

Mailing Address

CityChecotah
StateOK
ZIP Code74426-1250
Phone(918) 473-1748
Same as practice location

How to Use This NPI

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For Insurance Billing

Use NPI 1043412364 in Box 33 of the CMS-1500 claim form. This number is required by all major insurance carriers to identify the billing provider and process electronic medical claims.

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For Credentialing

Reference NPI 1043412364for provider credential verification. Hospital systems, state licensing boards, and CAQH directories query this number to verify the provider's active clinical status.

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For Patients

Share NPI 1043412364 with your insurance company. If you need to verify out-of-network benefits or file a reimbursement claim, your insurance provider will require this number to process it.

About Specialty not listed

Specialists in Specialty not listed provide expert clinical care within their specific domain, focusing on the diagnosis, treatment, and management of conditions relevant to their field of practice.

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61,358
Specialty not listed Providers in the US

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People Also Ask

What is Jeremy Tackett's NPI number?
Jeremy Tackett's NPI number is 1043412364, a unique 10-digit identifier issued by the Centers for Medicare & Medicaid Services (CMS).
Is Jeremy Tackett's NPI currently active?
Yes, Jeremy Tackett's NPI status is Active as of the latest CMS NPPES database updates.
What does Jeremy Tackett specialize in?
Jeremy Tackett specializes in Specialty not listed. The healthcare taxonomy code associated with this specialty is 225200000X.
Where does Jeremy Tackett practice?
Jeremy Tackett practices in Checotah, OK 74426-1250.
When was Jeremy Tackett's NPI issued?
Jeremy Tackett's NPI was issued on May 31, 2007.
What is Jeremy Tackett's provider type?
Jeremy Tackett is registered as an Individual Provider under CMS NPI Type 1.