MEDICARE: HOLLY ELIZABETH TATE PTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225200000X	Physical Therapy Assistant	2022	OK

General Provider Information

NPI Number	:	1598530461
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOLLY ELIZABETH TATE PTA

Provider Business Mailing Address
First Line	:	PO BOX 128
Second Line	:
City	:	UNION CITY
State	:	OK
Zip	:	73090-0128
Country	:	US
Telephone Number	:	405-613-7721
Fax Number	:

Provider Business Practice Location Address
First Line	:	1200 SW 104TH ST
Second Line	:
City	:	OKLAHOMA CITY
State	:	OK
Zip	:	73139-3019
Country	:	US
Telephone Number	:	405-759-3773
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2023
Last Update Date	:	11/20/2023

Similar Medicare Providers

1659541332 — EXCELL HOME CARE & HOSPICE, INC
Practice Location Address:

1200 SW 104TH ST , SUITE D
OKLAHOMA CITY, OK
73139-3019

Practice Phone: 405-631-0521
Practice Fax: 405-631-2661

1154650018 — EXCELL PRIVATE CARE SERVICES
Practice Location Address:

1200 SW 104TH ST , SUITE D
OKLAHOMA CITY, OK
73139-3019

Practice Phone: 405-631-0521
Practice Fax: 405-639-2079

1922700822 — CODY MARKS PTA
Practice Location Address:

1200 SW 104TH ST
OKLAHOMA CITY, OK
73139-3019

Practice Phone: 405-759-3773
Practice Fax:

1831121672 — JULIE L BOWMAN LOWE M.D.
Practice Location Address:

13220 N MACARTHUR BLVD
OKLAHOMA CITY, OK
73142-3019

Practice Phone: 405-608-6877
Practice Fax: 405-608-6899

1154672509 — BARUNDI NACHELLE LOLLES
Practice Location Address:

3019 N BARTELL RD
OKLAHOMA CITY, OK
73121-6830

Practice Phone: 405-505-8798
Practice Fax:

1386049401 — JULIE BOWMAN LOWE MD PLLC
Practice Location Address:

13220 N MACARTHUR BLVD
OKLAHOMA CITY, OK
73142-3019

Practice Phone: 405-608-6877
Practice Fax: 405-521-1979

Directions to “ HOLLY ELIZABETH TATE PTA” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.