Individual provider Active NPI

Elizabeth Harrison Tilstra, DPT

  • Physical Therapist
  • Nashville, TN
National Provider Identifier
1073962981
Registry record updated Jun 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10853 Issued in TN
Practice address
2021 Richard Jones Rd
Suite 180
Nashville, TN 37215-2860
Phone
(615) 298-8021
Fax
(615) 298-8024
NPI assigned
Jun 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 21, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 10853 TN Primary

Addresses

Primary practice location

2021 Richard Jones Rd
Suite 180
Nashville, TN 37215-2860

Mailing address

2021 Richard Jones Rd
Suite 180
Nashville, TN 37215-2860
Phone (615) 298-8021

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10853TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Tilstra Physical Therapy, LLC Current Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1465516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592697600000",
    "number": "1073962981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD",
            "address_2": "SUITE 180",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152860",
            "telephone_number": "615-298-8021",
            "fax_number": "615-298-8024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 RICHARD JONES RD",
            "address_2": "SUITE 180",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "372152860",
            "telephone_number": "615-298-8021",
            "fax_number": "615-298-8024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TILSTRA",
        "first_name": "ELIZABETH",
        "middle_name": "HARRISON",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-10",
        "last_updated": "2020-06-21",
        "certification_date": "2020-06-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "10853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Nashville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.