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AMY TISDALE PT
NPI 1508089749
Physical Therapist - Orthopedic in Evans, GA

Active since April 10, 2007
536 GRAND SLAM DR, EVANS, GA 30809(706) 854-8434(706) 854-8435 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amy Tisdale Pt NPPES

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

AMY TISDALE PT (NPI 1508089749) is an individual orthopedic provider in Evans, Georgia, licensed in Georgia (006776) and active in the NPI registry since April 2007.

NPPES Registry Identity

NPI1508089749
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameAMY TISDALECredential: PT
Location Address536 GRAND SLAM DREvans, GA 30809-8014
Mailing Address3115 Bransford RdAugusta, GA 30909-3007 · (706) 364-8393
Phone(706) 854-8434
Fax(706) 854-8435
Sole ProprietorNo
Enumeration DateApril 10, 2007
Last NPPES UpdateSeptember 11, 2025
✔ NPI 1508089749 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in GA · 006776
Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.

Also ListedPhysical TherapistTaxonomy 225100000X · License 006776 (GA)
536 GRAND SLAM DR, Evans, GA 30809
Open in Google Maps ↗

Other Identifiers 1

Other006776GA · Pt License

Other Providers at the Same Location NPPES 14

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TERU KASSNER
Occupational Therapist
536 GRAND SLAM DR
EVANS, GA 30809
Columbia County (706) 854-8434
ALLISON CAROL BOGGS CCC-SLP
Speech-Language Pathologist
536 GRAND SLAM DR, SUITE D
EVANS, GA 30809
Columbia County (706) 854-8434
DANA STEVENSON M.S. CCC-SLP
Speech-Language Pathologist
536 GRAND SLAM DR
EVANS, GA 30809
Columbia County (706) 854-8434
LAURA SUPPA OT
Occupational Therapist
536 GRAND SLAM DR, SUITE D
EVANS, GA 30809
Columbia County (706) 854-8434
SHERRY BROWN OT
Occupational Therapist
536 GRAND SLAM DR, SUITE D
EVANS, GA 30809
Columbia County (706) 854-8434
ELIZABETH PEAVY M.ED.CCC-SLP
Speech-Language Pathologist
536 GRAND SLAM DR
EVANS, GA 30809
Columbia County (706) 854-8434
MRS. KRISTA ODOM OTR/L
Occupational Therapist
536 GRAND SLAM DR
EVANS, GA 30809
Columbia County (706) 854-8434
KELLIE BREWER
Occupational Therapist
536 GRAND SLAM DR
EVANS, GA 30809
Columbia County (706) 854-8434

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 Amy Tisdale's NPI number?

The NPI number for Amy Tisdale is 1508089749. It was assigned to this individual provider in the NPPES registry on April 10, 2007.

Where is Amy Tisdale located?

Amy Tisdale practices at 536 Grand Slam Dr, Evans, GA 30809. The listed phone number is (706) 854-8434.

What is Amy Tisdale's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Amy Tisdale was last updated on September 11, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.