Charlene Tissenbaum, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008338L Issued in PA

Practice address

1146 W Chestnut St
Washington, PA 15301-4631

Phone

(724) 223-1207

Fax

(724) 223-1209

NPI assigned

Sep 14, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1252886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1356674089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 LINCOLN AVE STE 107",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222451",
            "telephone_number": "724-483-1673",
            "fax_number": "724-483-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1146 W CHESTNUT ST",
            "city": "WASHINGTON",
            "state": "PA",
            "postal_code": "153014631",
            "telephone_number": "724-223-1207",
            "fax_number": "724-223-1209"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISSENBAUM",
        "first_name": "CHARLENE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-14",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT008338L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Washington, PA
• Providers in Washington, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.