Tisha Thelen

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1200 E Partridge St
Metamora, IL 61548-9619

Phone

(309) 367-4300

Fax

(309) 367-2235

NPI assigned

Mar 28, 2007

Last updated

Jul 8, 2007By 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": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1942329040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 E PARTRIDGE ST",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615489619",
            "telephone_number": "309-367-4300",
            "fax_number": "309-367-2235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 E PARTRIDGE ST",
            "city": "METAMORA",
            "state": "IL",
            "postal_code": "615489619",
            "telephone_number": "309-367-4300",
            "fax_number": "309-367-2235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THELEN",
        "first_name": "TISHA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Marie Stewart, APRN, FNP-C
• Lindsay Marie Street, COTA/L
• Denice D Studer, FNP
• Meghan E Tejero, SLP
• Alex Tenhagen, LPC
• Ciara Trimble-Roddy
• Amber Elizabeth Turner, M.A., CCC-SLP
• Michael Whitford, MD
• Timothy J Williams, M.D.
• Susan Wolf, APN

• Physical Therapist in Metamora, IL
• Providers in Metamora, IL by specialty
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.