Tyler M Keisker, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015263 Issued in GA

Practice address

5290 Roswell Rd Ste W
Atlanta, GA 30342-1978

Phone

(404) 477-5555

Fax

(404) 477-5556

NPI assigned

May 26, 2021

Sex

Male

Sole proprietor

No

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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Mercer University School of Medicine, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sandy Springs Physical Therapy LLCGroup PAC ID 1557402625, 8 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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 and National Provider Directory roles.

• Sandy Springs Physical Therapy LLC

  • Physical Therapist
  • Atlanta, GA
  • NPI 1699905554
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1396310793",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5290 ROSWELL RD STE W",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421978",
            "telephone_number": "404-477-5555",
            "fax_number": "404-477-5556"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5290 ROSWELL RD STE W",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303421978",
            "telephone_number": "404-477-5555",
            "fax_number": "404-477-5556"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISKER",
        "first_name": "TYLER",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-05-26",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steven A Keilin, M.D.
• Jessica Milian Keilson, MD
• John Mitchell Keim
• Victoria Pugh Keir, DDS, MD
• Katherine Keirsey, RD
• Lauren Keister, PAA
• Keith M Dockery, MD PC
• Keith P. Thompson MD PC
• Audrey Keith
• Catherine Keith, NP

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.