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

Michael Gregory Tisbe, DPT

Individual provider Physical Therapist · NPI 1619710936

Michael Gregory Tisbe, DPT is a Physical Therapist in Baldwinsville, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2981 Town Center Rd
Baldwinsville, NY 13027-8120
Phone: (315) 638-9207
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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 014471-1 (NY)

Record details

NPI number1619710936
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedJune 14, 2024
Last updated in NPPESJune 14, 2024
Certification dateJune 14, 2024
Mailing address4996 Chesapeake Dr, North Syracuse, NY 13212-4411

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