Stephanie Tisby, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P160042868 Issued in WA

Practice address

4755 S 48TH St
Tacoma, WA 98409-1919

Phone

(253) 475-4611

NPI assigned

May 31, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Graham-Tisby Former name

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": "1653955200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653955200000",
    "number": "1407595275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 TAYLOR LN NE UNIT C",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065288",
            "telephone_number": "253-682-9433"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4755 S 48TH ST",
            "city": "TACOMA",
            "state": "WA",
            "postal_code": "984091919",
            "telephone_number": "253-475-4611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISBY",
        "first_name": "STEPHANIE",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P160042868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "STEPHANIE",
            "last_name": "GRAHAM-TISBY",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maureen Elaine Tinker, R.N.
• Jennifer Tintera
• Iris Maria Tio-Matos, M.D.
• Lisa Lynn Tipton, COTA
• Yoan Marcos Tirce Perez
• Ulyana Igorevna Tishchenko, PA-C
• Allison Titchenal
• Sambath Tith, PTA
• Alvin Y. Tiu, M.D.
• Arinder Jeet K Tiwana, M.D.

• Physical Therapy Assistant in Tacoma, WA
• Providers in Tacoma, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2022; 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.