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NPI · 1154626745 · NPPES-sourced

Mark Tisdale Pta

ActivePhysical Therapy Assistant
NPI Number
1154626745
Type 1 · Individual
Taxonomy Code
225200000X
Contact
(262) 948-7045
License WI · 897-019
Last Updated
Enumerated
Primary practice addressWI · 53142
10400 75th StreetKenosha, WI 53142
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About this NPIWhat this record shows.

NPI 1154626745 is registered to Mark Tisdale Pta, a Physical Therapy Assistant practising at 10400 75th Street in Kenosha, Wisconsin. Physical Therapy Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy. Mark Tisdale Pta has been enumerated in the National Provider Identifier (NPI) registry since 2011.

Provider type
Individual (Type 1)
Status
Active
Enumerated
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Insurance & acceptsHow to confirm coverage.

The National Plan and Provider Enumeration System (NPPES) registry does not include commercial insurance network data, so we cannot show which plans Mark Tisdale Pta accepts. To confirm in-network status with your specific health plan, contact Mark Tisdale Pta directly at (262) 948-7045.

Frequently asked

Yes. NPI 1154626745 is registered as Active in the CMS NPPES public registry and passes the Luhn check-digit validation that all 10-digit NPIs use.

Physical Therapy Assistant is a recognised medical specialty under the National Uniform Claim Committee (NUCC) taxonomy.

The CMS NPPES Public Registry at npiregistry.cms.hhs.gov is the authoritative source. FindMyNPI mirrors this dataset and refreshes monthly. For real-time verification, you can also call the provider's office at (262) 948-7045.

An individual healthcare provider has a single Type-1 NPI for life. Organisations can hold separate Type-2 NPIs per location, specialty, or sub-entity. Mark Tisdale Pta is a Type-1 individual NPI.

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Quick facts

Provider typeIndividual
Taxonomy225200000X
Last updated
Enumerated
StatusActive
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