ZACHARY M TATUM (PT) – Physical Therapist, NPI 1326732298

ZACHARY M TATUM (PT) is a healthcare provider. based in Omaha, Nebraska. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 4489 (NE). The NPI Number for ZACHARY M TATUM (PT) is 1326732298

Main info

Male
Sole Proprietor
3 Years Of Experience
Accepts Medicare Assignment
Name
ZACHARY M TATUM (PT)
NPI
1326732298
Phone
(402) 934-8688
Address
625 N 144TH AVE STE 102
Enumeration Date
5 June 2023
Last Update Date
5 June 2023

Doctor Profile

Medical School Name
CREIGHTON UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4029348688
Graduation Year
2023 (3 years ago)
PAC ID
2365801214
Group Practice PAC ID
3072613421
Professional Enrollment ID
I20230710003095
Address ID
NE681541935OM625XXAVEX403
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

845 PHYSICAL THERAPIST IN PRIVATE PRACTICE in NE

Provider Addresses for ZACHARY M TATUM (PT)

  • 625 N 144TH AVE STE 102

    OMAHA, NE 681541935

    Phone: (402) 934-8688

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-07-10

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230710003095IPhysical Therapist In Private PracticeNETBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 68154)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3072613421View full group profile
NameSpecialtyState
-NE
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE
Physical Therapist In Private PracticeNE

Reviews

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Frequently asked questions

Where can patients find ZACHARY M TATUM (PT)'s NPI?
You can confirm ZACHARY M TATUM (PT) with NPI 1326732298; it appears in the national provider directory.
Is ZACHARY M TATUM (PT) active in the national directory?
ZACHARY M TATUM (PT)'s public NPI profile is in an active state.
What kind of provider is ZACHARY M TATUM (PT)?
The page reflects Physical Therapist for ZACHARY M TATUM (PT). Clinical services aligned with this taxonomy classification.
What location metadata exists for ZACHARY M TATUM (PT)?
The page summarizes Omaha, Nebraska for ZACHARY M TATUM (PT); expand the address list for detail.
What if Omaha, Nebraska seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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