NPI age
19 years
Enumerated 2006-12-04
● Active
Type 1 · Individual
MRS. Angela Leanne Tatum, PHYSICAL THERAPIST
Tatum is 1 of 15 physical therapist providers in La Fayette and 1 of 7225 in Georgia.
Primary specialty
Physical Therapist
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file
How this provider compares
Across 7225 active physical therapist providers in Georgia.
NPI age
19 years
↑ 9 yr above median (10 yr)
State licenses
1 state
10% of peers hold multiple states
Subspecialties
0
18% of peers hold subspecialties
NPI lifetime · 2006 → 2026
2006-12Enumerated in NPPES
2006
2026
Where they practice
Practice location
4147 Straight Gut Rd
La Fayette, GA 307286749
Mailing address
4147 Straight Gut Rd
La Fayette, GA 307286749
Specialties
-
Physical Therapist PrimaryPhysical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 4109529 | BCBS TN |
| 05 (GA) | 00740275B | |
| 01 | 10052428 | AMERIGROUP |
| 01 | 339895 | WELLCARE |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES. This provider is listed as a sole proprietor.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
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