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

Mr. Timothy Dale Kisner, MPT

Individual provider Physical Therapist · NPI 1689650004

Mr. Timothy Dale Kisner, MPT is a Physical Therapist in Western Springs, Illinois. Licensed in Illinois. Registered with an NPI since 2005.

Licensed in
IL
In the registry since
2005
What do these letters mean?
MPT — Master of Physical Therapy
The master's-level physical therapy degree awarded before the DPT became standard.

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Practice location Address checks out

4700 Gilbert Ave Ste 43A
Western Springs, IL 60558-1753
Phone: (708) 783-1044
Fax: (708) 783-1048
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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 070-011706 (IL)

Record details

NPI number1689650004
Entity typeIndividual (Type 1)
GenderMale
Credentials MPT
Sole proprietorNo
NPI enumeratedDecember 16, 2005
Last updated in NPPESAugust 13, 2014

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