Tisha Julian, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2570 Issued in TN

Practice address

161 Mount Pelia Rd Ste B
Martin, TN 38237-3811

Phone

(731) 588-3480

Fax

(731) 588-3489

NPI assigned

Oct 1, 2007

Last updated

Jan 6, 2025By the provider in NPPES

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1407043763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "219 GIBSON CEMETERY RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383436252",
            "telephone_number": "731-697-8118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MOUNT PELIA RD STE B",
            "city": "MARTIN",
            "state": "TN",
            "postal_code": "382373811",
            "telephone_number": "731-588-3480",
            "fax_number": "731-588-3489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "219 Gibson Cemetery Rd",
            "address_purpose": "LOCATION",
            "city": "Humboldt",
            "state": "TN",
            "postal_code": "383436252",
            "country_code": "US",
            "telephone_number": "731-697-8118",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JULIAN",
        "first_name": "TISHA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "2570",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Brooke Jenkins, FNP-C
• Brenn Mitchell Johnson, CRNA
• Emily Belote Johnson, COTA
• Rebecca N Johnson, CNMW
• Robert Jones Mark Jones
• Christopher Paul Kelly, CRNA
• Kathleen Kempton, D.C
• Kendell Kessler MD
• Billie Jo Kennett, APN
• Kendell Kessler, M.D.

• Physical Therapy Assistant in Martin, TN
• Providers in Martin, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2025; 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.