JISSA THAYIL NPI 1104306257

NPI Information

  • NPI: 1104306257
  • Provider Name: JISSA THAYIL
  • Classification: Physical Therapist - 2251G0304X
  • Specialization: Geriatrics
  • Entity Type: Individual
  • Address: 2406 BROOKHOLLOW TER
    GEORGETOWN, TX
    ZIP 78626
  • Phone: (183) 262-0316

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NPI Details

Jissa Thayil is a geriatrics physical therapist in Georgetown, TX. The provider is 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. Jissa Thayil NPI is 1104306257. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2406 BROOKHOLLOW TER
GEORGETOWN, TX
ZIP 78626-684
Phone: (183) 262-0316

The enumeration date for this NPI number is 8/17/2018 and was last updated on 8/17/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12251G0304XPhysical TherapistGeriatrics1165213TEXASYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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