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

Jissa Thayil

Individual provider Geriatric Physical Therapist · NPI 1104306257

Jissa Thayil is a Geriatric Physical Therapist in Georgetown, Texas. Practices as a sole proprietor. Licensed in Texas.

Licensed in
TX
In the registry since
2018
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Practice location Address checks out

2406 Brookhollow Ter
Georgetown, TX 78626-7684
Phone: (183) 262-0316
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Geriatric Physical Therapist (primary) Taxonomy 2251G0304X · Licence 1165213 (TX)

Record details

NPI number1104306257
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 17, 2018
Last updated in NPPESAugust 17, 2018