JISSA THAYIL
NPI 1104306257
Physical Therapist - Geriatrics in Georgetown, TX

Q: What is Jissa Thayil's NPI number?

The NPI number for Jissa Thayil is 1104306257. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Q: What is Jissa Thayil's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

Q: When was this NPI record last updated?

The NPPES record for Jissa Thayil was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since August 17, 2018

2406 BROOKHOLLOW TER, GEORGETOWN, TX 78626(183) 262-0316 Get Directions Write a Review

NPPES record last updated: August 17, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Jissa Thayil NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JISSA THAYIL (NPI 1104306257) is an individual geriatrics provider in Georgetown, Texas, licensed in Texas (1165213) and active in the NPI registry since August 2018.

NPPES Registry Identity

NPI1104306257

Entity TypeIndividualFemale

Primary Taxonomy2251G0304X

Provider Legal NameJISSA THAYIL

Location Address2406 BROOKHOLLOW TERGeorgetown, TX 78626-7684

Mailing Address2406 Brookhollow TerGeorgetown, TX 78626-7684

Phone(183) 262-0316

Sole ProprietorYes

Enumeration DateAugust 17, 2018

✔ NPI 1104306257 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · GeriatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251G0304X

License✔ Licensed in TX · 1165213

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Geriatric Physical Therapy, who has demonstrated specialized knowledge and skill in the comprehensive biopsychosocial assessment and evidence-based management of movement in aging adults. This includes, but is not limited to, specialized knowledge in and consideration of normal age-related changes and pathological manifestations across all systems; cognition and mental health; polypharmacy; fall risk mitigation; bone health; healthy and active aging, and socioeconomic and health policy issues affecting aging adults. The geriatric physical therapist is an integral part of the interdisciplinary geriatric team and serves as an advocate for the highest level of well-being for the older adult.

2406 BROOKHOLLOW TER, Georgetown, TX 78626

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jissa Thayil's NPI number?

The NPI number for Jissa Thayil is 1104306257. It was assigned to this individual provider in the NPPES registry on August 17, 2018.

Where is Jissa Thayil located?

Jissa Thayil practices at 2406 Brookhollow Ter, Georgetown, TX 78626. The listed phone number is (183) 262-0316.

What is Jissa Thayil's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Geriatrics, with taxonomy code 2251G0304X.

When was this NPI record last updated?

The NPPES record for Jissa Thayil was last updated on August 17, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.