Kathleen Tisko, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1018372 Issued in TX

Practice address

5930 LBJ Fwy
Ste. 380
Dallas, TX 75240-6304

Phone

(214) 351-2299

NPI assigned

Jun 10, 2006

Last updated

Apr 21, 2015By 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)

Enrolled

State licenses

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.

• Lovers Lane Wellness Center LLC

  • Chiropractor
  • Dallas, TX
  • NPI 1295065118
  Authorized official Same address or phone
• Therapycare, Inc

  dba Park Cities Physical Therapy

  • Physical Therapy Clinic/Center
  • Dallas, TX
  • NPI 1790727576
  Authorized official Same address or phone
• Therapycare, Inc.

  dba Lovers Lane Wellness Center

  • Chiropractor
  • Dallas, TX
  • NPI 1811090210
  Authorized official Same address or phone

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429574400000",
    "number": "1760423610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3844 MARTHA LN",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752296126",
            "telephone_number": "214-351-2299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 LBJ FWY",
            "address_2": "STE. 380",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752406304",
            "telephone_number": "214-351-2299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TISKO",
        "first_name": "KATHLEEN",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-10",
        "last_updated": "2015-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1018372",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Dallas, TX
• Providers in Dallas, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2015; 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.