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

Traci Kissinger, PT

Individual provider Physical Therapist · NPI 1134529555

Traci Kissinger, PT is a Physical Therapist in Private Practice in Normal, Illinois. Qualified in 2014, 12 years ago. Practices with Orthopedic and Shoulder Center S C, a 6-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
12
Licensed in
IL
In the registry since
2014
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

2200 Fort Jesse Rd Ste 250
Normal, IL 61761-6286
Phone: (309) 888-9800
Fax: (309) 828-9700
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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 070.020844 (IL)

Record details

NPI number1134529555
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedSeptember 4, 2014
Last updated in NPPESSeptember 4, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Orthopedic And Shoulder Center S C — 6 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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