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

Tammy Sue Wagoner

Individual provider Orthopedic Physical Therapist · NPI 1174278527

Tammy Sue Wagoner is a Physical Therapist in Private Practice in Tulsa, Oklahoma. Qualified in 1994, 32 years ago. Practices with Tulsa Bone and Joint Associates PC, a 91-clinician group and accepts Medicare assignment. Licensed in Oklahoma.

Years since qualifying
32
Licensed in
OK
In the registry since
2022

Practice location Address checks out

4802 S 109th East Ave
Tulsa, OK 74146-5822
Phone: (918) 392-1513
Fax: (918) 392-1488
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence 2175 (OK)

Record details

NPI number1174278527
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedFebruary 15, 2022
Last updated in NPPESFebruary 15, 2022
Certification dateFebruary 15, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Tulsa Bone And Joint Associates Pc — 91 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tulsa