Anna K Tischenko, P.T., PHD

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT15250 Issued in FL

Practice address

7800 S Red Rd Ste 105
South Miami, FL 33143-5543

Phone

(305) 779-2427

Fax

(305) 779-2437

NPI assigned

Mar 16, 2009

Last updated

Jun 16, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Philosophy

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physical Therapy and Wellness Center

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  • Coral Gables, FL
  • NPI 1619006962
  NPD (past) Authorized official
• Physical Therapy and Wellness Center Inc

  • Physical Therapist
  • South Miami, FL
  • NPI 1750727400
  Authorized official Same address or phone
• Improving Lives Community Mental Health Center, Inc

  • Community/Behavioral Health Agency
  • South Miami, FL
  • NPI 1174575708
  NPD (past)
• Polestar Pilates Center, LLC

  • Physical Medicine & Rehabilitation Physician
  • Coral Gables, FL
  • NPI 1396780888

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1237161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1629219084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7130 SW 92ND ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331561617",
            "telephone_number": "305-775-9114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 S RED RD STE 105",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331435543",
            "telephone_number": "305-779-2427",
            "fax_number": "305-779-2437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 San Remo Ave Ste 170",
            "address_purpose": "LOCATION",
            "city": "Coral Gables",
            "state": "FL",
            "postal_code": "331463054",
            "country_code": "US",
            "telephone_number": "305-775-9114",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISCHENKO",
        "first_name": "ANNA",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "P.T., PHD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-16",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT15250",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thrive Miami, LLC
• Phat Hai Tien, PA-C
• Travis S Tierney, M.D.
• Wilfredo Noel Tijerino, PA-C
• Lorena Andreina Tinoco, M.D
• TMJ Dental Consultants Inc
• Omar Todd, RCSWI
• Dinelly Toledo
• Ras Israel Tong, DC
• Juan Jose Toral, MD MPH

• Physical Therapist in South Miami, FL
• Providers in South Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.