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

Mrs. Jennifer Anne Tiseo, MA, PT

Individual provider Physical Therapist · NPI 1013058965

Mrs. Jennifer Anne Tiseo, MA, PT is a Physical Therapist in Bay Shore, New York. Licensed in New York. Registered with an NPI since 2007.

Licensed in
NY
In the registry since
2007
What do these letters mean?
MA — Master of Arts
A graduate arts degree.
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

1428 5th Ave
Bay Shore, NY 11706-4147
Phone: (631) 665-1900
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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 0155221 (NY)

Record details

NPI number1013058965
Entity typeIndividual (Type 1)
GenderFemale
Credentials MA , PT
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESSeptember 13, 2024
Certification dateSeptember 13, 2024

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