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

Tate Odam, PTA

Individual provider Physical Therapy Assistant · NPI 1093390957

Tate Odam, PTA is a Physical Therapy Assistant in Chickasha, Oklahoma. Licensed in Oklahoma. Registered with an NPI since 2021.

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

304 S 29th St
Chickasha, OK 73018-2501
Phone: (405) 224-3100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X · Licence 3263 (OK)

Record details

NPI number1093390957
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 12, 2021
Last updated in NPPESMarch 12, 2021
Certification dateMarch 12, 2021
Mailing address440 Merchant Dr, Norman, OK 73069-6470

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