DR. BLAKE TISHMAN (D.C.) – Chiropractor, NPI 1447550082

DR. BLAKE TISHMAN (D.C.) is a healthcare provider. based in Pompano beach, Florida. specializing in CHIROPRACTIC. They hold the professional credentials D.C.. They hold a License No. CH 10137 (FL). The NPI Number for DR. BLAKE TISHMAN (D.C.) is 1447550082

Main info

Male
Sole Proprietor
16 Years Of Experience
Accepts Medicare Assignment
Name
DR. BLAKE TISHMAN (D.C.)
NPI
1447550082
Phone
(561) 576-7740
Address
750 E SAMPLE RD STE 3-4
Enumeration Date
29 October 2010
Last Update Date
24 February 2022

Doctor Profile

Medical School Name
SHERMAN COLLEGE OF STRAIGHT CHIROPRACTIC
Secondary Phone
9543407545
Graduation Year
2010 (16 years ago)
PAC ID
1850577941
Group Practice PAC ID
6406810506
Professional Enrollment ID
I20110526000189
Address ID
FL330671694PA6662XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:15State licenses:1Digital endpointsOther names

2,472 CHIROPRACTIC in FL

Provider Addresses for DR. BLAKE TISHMAN (D.C.)

  • 750 E SAMPLE RD STE 3-4

    POMPANO BEACH, FL 330645138

    Phone: (561) 576-7740

    Type: Location

  • 1600 S FEDERAL HWY STE 451

    POMPANO BEACH, FL 330627525

    Phone: (954) 510-2225

    Fax: (754) 206-1958

    Type: Mailing

  • 6269 W SAMPLE RD

    CORAL SPRINGS, FL 330673175

    Phone: (954) 510-2225

    Fax: (954) 510-2227

    Type: Location

  • 8177 GLADES RD STE 24

    BOCA RATON, FL 334344063

    Phone: (561) 487-7200

    Fax: (561) 487-7229

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-05-26

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20110526000189IChiropracticFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions18215$0
View full utilization report →

Insurance plans in this area (ZIP 33064)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 6406810506View full group profile
NameSpecialtyState
C H I R O P R A C T I CFL

Reviews

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Frequently asked questions

What unique ID ties claims to DR. BLAKE TISHMAN (D.C.)?
NPI 1447550082 is assigned to DR. BLAKE TISHMAN (D.C.) under the national enumeration system.
Is DR. BLAKE TISHMAN (D.C.) active in the national directory?
DR. BLAKE TISHMAN (D.C.)'s public NPI profile is in an active state.
What does DR. BLAKE TISHMAN (D.C.) treat or focus on?
Patients typically see DR. BLAKE TISHMAN (D.C.) under the specialty Chiropractor. Clinical services aligned with this taxonomy classification.
What location shows for DR. BLAKE TISHMAN (D.C.)?
We surface Pompano Beach, Florida for DR. BLAKE TISHMAN (D.C.) based on available NPPES addresses.
How can I contact DR. BLAKE TISHMAN (D.C.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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Unknown Individual

Chiropractor
East Sample Road, North Pompano Beach, Pompano Beach, Broward County, Florida, 33064, United States
NPI: 1790726271