Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Charlee Nussbaum, PTA

Individual provider Physical Therapy Assistant · NPI 1265107874

Charlee Nussbaum, PTA is a Physical Therapy Assistant in Tulsa, Oklahoma. Practices as a sole proprietor and works from 2 locations. Licensed in Oklahoma.

Licensed in
OK
In the registry since
2021
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

14002 E 21st St Ste 650
Tulsa, OK 74134-1425
Phone: (405) 355-3239
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3312 S Peoria Ave, Tulsa, OK 74105-2029 — (918) 400-0089

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3453 (OK)

Record details

NPI number1265107874
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTA
Sole proprietorYes
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021
Mailing address20740 E 45th St S, Broken Arrow, OK 74014-8741

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