Tyler Joiner

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT017386 Issued in GA

Practice address

1553 Northside Dr E
Statesboro, GA 30458-1025

Phone

(912) 314-3401

NPI assigned

Apr 4, 2025

Last updated

Apr 4, 2025By the provider in NPPES

Sex

Unspecified or another gender identity

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Kinetic Healing

  • Physical Therapy Clinic/Center
  • Statesboro, GA
  • NPI 1467249953
  NPD Authorized official

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

{
    "created_epoch": "1743724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743724800000",
    "number": "1366246514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "149 PROSSER RD",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304617248",
            "telephone_number": "912-536-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1553 NORTHSIDE DR E",
            "city": "STATESBORO",
            "state": "GA",
            "postal_code": "304581025",
            "telephone_number": "912-314-3401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOINER",
        "first_name": "TYLER",
        "sole_proprietor": "YES",
        "sex": "X",
        "enumeration_date": "2025-04-04",
        "last_updated": "2025-04-04",
        "certification_date": "2025-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT017386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kenneth W. Johnson, M.S., LPC
• Leslie Martin Johnson, M.S, CCC-SLP
• Ricky Brandon Johnson, FNP-C
• Tyteyana Johnson
• Koree Jacobs Joiner, FNP-C
• Amanda Gail Jones
• Ashley Jones, NURSE PRACTITIONER
• Catherine Jane Victoria Jones
• Deairra Jones
• Emily Jones

• Physical Therapist in Statesboro, GA
• Providers in Statesboro, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.