Mark Tisdale, PTA
NPI 1154626745 · Physical Therapy Assistant · Kenosha, WI
Mark Tisdale, PTA is a Physical Therapy Assistant provider in Kenosha, WI (NPI 1154626745).
Provider details
- NPI number
- 1154626745
- Entity type
- Individual
- Primary specialty
- Physical Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PTA
- Sex
- Male
- Sole proprietor
- No
- License
- 897-019 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-01-13
- Last updated
- 2011-01-13
Frequently asked questions
- What is Mark Tisdale's NPI number?
- Mark Tisdale's National Provider Identifier (NPI) is 1154626745, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mark Tisdale's specialty?
- Mark Tisdale is listed in the NPPES registry with a primary specialty of Physical Therapy Assistant (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Mark Tisdale located?
- Mark Tisdale's practice location on file with NPPES is 10400 75th Street, Kenosha, WI 53142.
- What is Mark Tisdale's phone number?
- The practice phone number listed in the NPPES registry for Mark Tisdale is (262) 948-7045.
- Is Mark Tisdale's NPI active?
- Yes — Mark Tisdale's NPI (1154626745) is active in the NPPES registry as of the last update on 2011-01-13.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.