MARK R TISDALE PTA
NPI 1154626745
Physical Therapy Assistant in Kenosha, WI

NPI Status: Active since January 13, 2011

Contact Information

10400 75TH STREET
KENOSHA, WI
ZIP 53142
Phone: (262) 948-7045
Fax: (262) 948-7331

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  • Individual
  • Male
  • Physical Therapy Assistant

About MARK TISDALE

This page provides the complete NPI Profile along with additional information for Mark Tisdale, a provider established in Kenosha, Wisconsin with a medical specialization in Physical Therapy Assistant. The healthcare provider is registered in the NPI registry with number 1154626745 assigned on January 2011. The practitioner's primary taxonomy code is 225200000X with license number 897-019 (WI). The provider is registered as an individual and his NPI record was last updated 15 years ago.

NPI
1154626745
Provider Name
MARK R TISDALE PTA
Gender
Male
Entity Type
Individual
Location Address
10400 75TH STREET KENOSHA, WI 53142
Location Phone
(262) 948-7045
Location Fax
(262) 948-7331
Mailing Address
10400 75TH STREET KENOSHA, WI 53142
Mailing Phone
(262) 948-7045
Mailing Fax
(262) 948-7331
Is Sole Proprietor?
No
Enumeration Date
01-13-2011
Last Update Date
01-13-2011
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapy Assistant

Taxonomy Code
225200000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
897-019
License State
WI
Taxonomy Description
(1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient's responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life.

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1154626745
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
211041221278
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 0 + 4 + 1 + 2 + 2 + 1 + 2 + 7 + 8 + 24 = 55
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 55 = 55

The NPI number 1154626745 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1851326094 MAYSOON A RAZZAK MD
Individual
Pathology (Anatomic Pathology & Clinical Pathology)10400 75TH STREET
KENOSHA, WI 53142
(262) 948-5690
1952568545 JENNIFER J STRUC PTA
Individual
Physical Therapy Assistant10400 75TH STREET
KENOSHA, WI 53142
(262) 948-7045
1013216829MRS. TAMMY MARIE CZARNECKI PTA
Individual
Physical Therapy Assistant10400 75TH STREET
KENOSHA, WI 53142
(262) 948-7045

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1154626745, enumerated in the NPI registry as an "individual" on January 13, 2011

The provider is located at 10400 75th Street Kenosha, Wi 53142 and the phone number is (262) 948-7045

The provider's speciality is Physical Therapy Assistant with taxonomy code 225200000X

This NPI record was last updated on January 13, 2011. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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