John Hunter Tisch, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070025325 Issued in IL

Practice address

2359 Broadway St
Pekin, IL 61554-3902

Phone

(309) 353-4767

NPI assigned

Aug 18, 2020

Sex

Male

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

Practice roles

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

• Institute of Physical Medicine and Rehabilitation

  • Physical Medicine & Rehabilitation Physician
  • Peoria, IL
  • NPI 1164464491
  NPD (past)
• Saint Francis Medical Center

  • Home Health Agency
  • Peoria, IL
  • NPI 1346281425
  NPD (past)

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

{
    "created_epoch": "1597708800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603152000000",
    "number": "1942812276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11907 N HICKORY GROVE RD",
            "city": "DUNLAP",
            "state": "IL",
            "postal_code": "615259259",
            "telephone_number": "309-645-7424"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2359 BROADWAY ST",
            "city": "PEKIN",
            "state": "IL",
            "postal_code": "615543902",
            "telephone_number": "309-353-4767"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1015 OConor Ave",
            "address_purpose": "LOCATION",
            "city": "LA Salle",
            "state": "IL",
            "postal_code": "613011216",
            "country_code": "US",
            "telephone_number": "309-645-7424",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TISCH",
        "first_name": "JOHN",
        "middle_name": "HUNTER",
        "name_prefix": "Dr.",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-18",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070025325",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Venus Thomas
• Michelle Thompson, RN
• Teresa Thompson
• Jeannie Thrasher
• Timbercreek Rehabilitation & Health Care Center LLC
• Karen Tobias, M.S.W.
• Total Dental Care LTD
• Theresa F Towne, MS CCC/A
• Cassandra B Trumpy, RBT
• Twilight Pediatrics LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; 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.