Active NPI
Susan M Tiskus, MS PT
- Physical Therapist
- North Kingstown, RI
National Provider Identifier
1194760546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 225X00000X
- Practice address
- 300 Tower Hill Rd
North Kingstown, RI 02852-4814 - Phone
- (401) 295-8500
- Fax
- (401) 295-8536
- NPI assigned
- Jun 19, 2006
- Last updated
- Jul 13, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 225X00000X | RI | Primary |
Addresses
Primary practice location
300 Tower Hill Rd
North Kingstown, RI 02852-4814
Mailing address
13 Boom St
Jamestown, RI 02835-2616
Phone (401) 423-3619
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1325 | Other | RI | MS PT |
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 225X00000X | RI | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1194760546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13 BOOM ST",
"city": "JAMESTOWN",
"state": "RI",
"postal_code": "028352616",
"telephone_number": "401-423-3619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "300 TOWER HILL RD",
"city": "NORTH KINGSTOWN",
"state": "RI",
"postal_code": "028524814",
"telephone_number": "401-295-8500",
"fax_number": "401-295-8536"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TISKUS",
"first_name": "SUSAN",
"middle_name": "M",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "RI",
"license": "225X00000X",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MS PT",
"identifier": "1325",
"state": "RI"
}
],
"endpoints": [],
"other_names": []
}Other providers in North Kingstown, RI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.