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

Jissa Thayil

Individual provider Geriatric Physical Therapist · NPI 1104306257

Jissa Thayil is a Geriatric Physical Therapist in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
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Practice location Address checks out

2406 Brookhollow Ter
Georgetown, TX 78626-7684
Phone: (183) 262-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 1165213 (TX)

Record details

NPI number1104306257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 17, 2018
Last updated in NPPESAugust 17, 2018
Mailing address2406 Brookhollow Ter, Georgetown, TX 78626-7684