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

Seth Tatum, PT, DPT, ATC

Individual provider Physical Therapist · NPI 1205032646

Seth Tatum, PT, DPT, ATC is a Physical Therapist in Private Practice in Independence, Missouri. Qualified in 2007, 19 years ago. Practices with Select Physical Therapy Holdings Inc, a 2,121-clinician group and accepts Medicare assignment. Licensed in Kansas and Missouri.

Years since qualifying
19
Licensed in
KS, MO
In the registry since
2007
Specialties on file
2
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.
ATC — Certified Athletic Trainer
Prevents and treats sport and activity injuries.

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Practice location Address checks out

19310 E 50th Ter S Ste A
Independence, MO 64055-5564
Phone: (816) 795-1507
Fax: (816) 795-1533
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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 2016019546 (MO)
Physical Therapist Taxonomy 225100000X · Licence 11-05562 (KS)

Record details

NPI number1205032646
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT , ATC
Sole proprietorYes
NPI enumeratedJune 22, 2007
Last updated in NPPESJanuary 13, 2022
Certification dateJanuary 13, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2007 (19 years in practice)
Group practice Select Physical Therapy Holdings Inc — 2121 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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