Individual provider Active NPI

Tyler Chiste

  • Physical Therapist
  • Kings Mountain, NC
National Provider Identifier
1033891114
Registry record updated Feb 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CP052793T Issued in NC
Practice address
836 E King St
Kings Mountain, NC 28086-3187
Phone
(704) 739-5995
NPI assigned
Aug 7, 2023
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CP052793T NC Primary
Physical Therapist 225100000X PT031458 PA
Physical Therapist 225100000X DAPT006538 PA

Addresses

Primary practice location

836 E King St
Kings Mountain, NC 28086-3187

Mailing address

1200 McKean Ave Ste 108
Charleroi, PA 15022-2141
Phone (724) 684-6000

Other practice location 1

1743 Rostraver Rd
Rostraver Township, PA 15012-4000
Phone (724) 929-7100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231027001565 PA Practitioner - Physical Therapist in Private Practice 9335595362 Reassigns benefits to 1 organization
I20260227003867 NC Practitioner - Physical Therapist in Private Practice 9335595362 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

1743 Rostraver Rd
Rostraver Township, PA 15012-4000
Phone (724) 929-7100

836 E King St
Kings Mountain, NC 28086-3187
Phone (704) 739-5995

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CP052793TNCMDPhysical Therapist
DAPT006538PAMDPhysical Therapist
PT031458PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Feb 6, 2026 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Feb 6, 2026 Accepting new patients
Biomechanical Orthopedic Assessment and Rehabilitation Inc. Physical Therapist CurrentSince Sep 1, 2023 Accepting new patients
Bradley Physical Therapy Clinic, Inc. PastSince Aug 13, 2023 Accepting new patients

Locations

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

836 E King St
Kings Mountain, NC 28086
Phone (704) 739-5995

121 Wilson Rd
Bentleyville, PA 15314
Phone (724) 239-5777

1200 McKean Ave
Ste 108
Charleroi, PA 15022
Phone (724) 489-0120

1295 Grand Blvd
Ste 102
Monessen, PA 15062
Phone (724) 684-6000

1743 Rostraver Rd
Rostraver Township, PA 15012
Phone (724) 929-7100

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771200000000",
    "number": "1033891114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 MCKEAN AVE STE 108",
            "city": "CHARLEROI",
            "state": "PA",
            "postal_code": "150222141",
            "telephone_number": "724-684-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "836 E KING ST",
            "city": "KINGS MOUNTAIN",
            "state": "NC",
            "postal_code": "280863187",
            "telephone_number": "704-739-5995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1743 Rostraver Rd",
            "address_purpose": "LOCATION",
            "city": "Rostraver Township",
            "state": "PA",
            "postal_code": "150124000",
            "country_code": "US",
            "telephone_number": "724-929-7100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHISTE",
        "first_name": "TYLER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2026-02-16",
        "certification_date": "2026-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "CP052793T",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031458",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "DAPT006538",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kings Mountain, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.