Blake Tishman, P.a.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

CH10137 Issued in ZZ

Legal business name

BLAKE TISHMAN, P.A.

Doing business as

Tishman Chiropractic Center

Practice address

750 E Sample Rd Ste 3-4
Pompano Beach, FL 33064-5138

Phone

(561) 576-7740

Fax

(561) 576-7783

NPI assigned

Apr 7, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Blake Tishman, D.C.

Title

Owner

Phone

(561) 576-7740

Specialties & licenses 1

Addresses

Other names 1

• Tishman Chiropractic Center Doing business as

Locations

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

{
    "created_epoch": "1428364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679529600000",
    "number": "1134515125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9155 RAMBLEWOOD DR APT 317",
            "city": "CORAL SPRINGS",
            "state": "FL",
            "postal_code": "330717036",
            "telephone_number": "561-576-7740",
            "fax_number": "561-576-7783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 E SAMPLE RD STE 3-4",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330645138",
            "telephone_number": "561-576-7740",
            "fax_number": "561-576-7783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLAKE TISHMAN, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-07",
        "last_updated": "2023-03-23",
        "certification_date": "2023-03-23",
        "status": "A",
        "authorized_official_last_name": "TISHMAN",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "561-576-7740",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "ZZ",
            "license": "CH10137",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tishman Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tishman Chiropractic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Bit by Bit Theapy
• Donna M Bivona, LMHC
• Sarah Blackburn
• Tracey N. Blackwood, LPN
• Paul Anthony Blair
• Eneth Marrion Blake-Williams, MASW
• Carla Blanc, ARNP
• Eduardo Caridad Blanco, DDS
• Anna Marie Blankenheim
• Anne M Blenke, MD

• Chiropractor in Pompano Beach, FL
• Providers in Pompano Beach, FL by specialty
• Chiropractor in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2023; 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.