Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Abbie Rae Tadlock, PT, DPT

Individual provider Physical Therapist · NPI 1508435272

Abbie Rae Tadlock, PT, DPT is a Physical Therapist in Private Practice in Lawton, Oklahoma. Qualified in 2021, 5 years ago. Licensed in Kansas, Missouri and Oklahoma.

Years since qualifying
5
Licensed in
KS, MO, OK
In the registry since
2021
Specialties on file
3
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1401 SW Park Ridge Blvd Unit A
Lawton, OK 73505
Phone: (580) 730-8015
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 6645 (OK)
Physical Therapist Taxonomy 225100000X · Licence 2021021357 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-06731 (KS)

Record details

NPI number1508435272
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedJune 17, 2021
Last updated in NPPESJuly 21, 2025
Certification dateJuly 5, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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