Stephen Tisa (NPI# 1073910436, PAC ID# 9436474665) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1073910436 |
| PAC ID by PECOS | 9436474665 |
| Professional Enrollment ID | I20150211001037 |
| Full Name | Stephen Tisa |
| Organization Legal Name | THERASPORT PHYSICAL THERAPY, LLC |
| Address |
14 Parke Place Blvd Suite D Sewell NJ 08080-2662 |
| Phone Number | 8562568393 |
| Gender | M |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9133199946 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 30 W Maple Ave, Merchantville, NJ 08109-5104 | 8566610200 | THERASPORT PHYSICAL THERAPY, LLC |
| 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 | 8562568393 | THERASPORT PHYSICAL THERAPY, LLC |
| Organization Legal Name | THERASPORT PHYSICAL THERAPY, LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Perno | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Daniel J Liss | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Jennifer Liss | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Jenna Scuilli | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Street Address |
14 PARKE PLACE BLVD SUITE D |
| City | SEWELL |
| State | NJ |
| Zip | 08080-2662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer L Perno | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Daniel J Liss | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Jennifer Liss | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Jenna Scuilli | Physical Therapy | Therasport Physical Therapy, LLC | 14 Parke Place Blvd, Suite D, Sewell, NJ 08080-2662 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas R Mirsen | Neurology | Cmc Department of Medicine Group Pa | Bnkr Hl Plz, Suite 103, Sewell, NJ 08080 |
| Miles A Brumberg | Family Medicine | 601 Hurffville Crosskeys Rd, Sewell, NJ 08080-1748 | |
| Kevin J Kargman | Pediatric Medicine | 438 Ganttown Rd, Suite A7, Sewell, NJ 08080-1886 | |
| Raymond A Ferrara | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| Jack Bondi | Podiatry | Hess Bondi LLC | 438 Ganttown Rd, B4, Sewell, NJ 08080-1887 |
| David O Phillips | Chiropractic | 432 Ganttown Rd, Suite 106, Sewell, NJ 08080-1895 | |
| Maria Morris | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Floriya Tkachuk Mattioli | Nurse Practitioner | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| Joseph Cavallaro | Family Medicine | Cavallaro Family Practice | 432 Ganttown Rd, Suite 202, Sewell, NJ 08080-1896 |
| David M Ringel | Ophthalmology | David M. Ringel, Do Pa | 101 A Kings Way W, Sewell, NJ 08080-2233 |
| Find all physicians in zip 08080 | |||
| City | SEWELL |
| Zip Code | 08080 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | SEWELL + PHYSICAL THERAPY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.