Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jack L Tisor, PT

Individual provider Physical Therapist · NPI 1699973594

Jack L Tisor, PT is a Physical Therapist in Anaheim, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

411 N Lakeview Ave
Anaheim, CA 92807-3028
Phone: (888) 988-2800
Fax: (626) 405-6768
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT05812 (CA)

Record details

NPI number1699973594
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 3, 2007
Last updated in NPPESJuly 8, 2007
Mailing address393 E Walnut St, 3rd Floor - Phr Systems, Pasadena, CA 91188-0001

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