Active NPI
Peter Z Kiser, OTR/L
- Occupational Therapist
- San Antonio, TX
National Provider Identifier
1003671017
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 115782
- Practice address
- 5100 John D Ryan Blvd # 2700
San Antonio, TX 78245-3527 - Phone
- (210) 677-8666
- NPI assigned
- Feb 19, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 115782 | TX | Primary |
Addresses
Primary practice location
5100 John D Ryan Blvd # 2700
San Antonio, TX 78245-3527
Mailing address
2003 Encino Cliff St
San Antonio, TX 78259-2413
Phone (210) 279-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115782 | TX | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc. | Occupational Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Occupational Therapist | Current | Accepting new patients |
Locations
110 Horizon Dr
#310
Raleigh, NC 27615
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (970) 215-3300
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Cedar Park, TX
- NPI 1871132357
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1708300800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1708300800000",
"number": "1003671017",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2003 ENCINO CLIFF ST",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782592413",
"telephone_number": "210-279-1335"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5100 JOHN D RYAN BLVD # 2700",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782453527",
"telephone_number": "210-677-8666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KISER",
"first_name": "PETER",
"middle_name": "Z",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-02-19",
"last_updated": "2024-02-19",
"certification_date": "2024-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TX",
"license": "115782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.