Tyler Kist, PT, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

303189 Issued in CA

Practice address

32302 Camino Capistrano Ste 106
San Juan Capistrano, CA 92675-4505

Phone

(949) 276-8845

NPI assigned

Nov 18, 2022

Sex

Male

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

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Rancho Physical Therapy IncGroup PAC ID 2365346491, 29 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Fallbrook, CA
  • NPI 1174591812

  Orthopedic

  Medicare reassignment Care Compare group NPD
• Prosport Physical Therapy Professionals Inc

  • Physical Therapy Clinic/Center
  • Costa Mesa, CA
  • NPI 1073170437

  Orthopedic

  Medicare reassignment NPD
• Prosport Physical Therapy Professionals Inc

  • Physical Therapist
  • Rancho Palos Verdes, CA
  • NPI 1487648341

  Orthopedic

  NPD
• Rancho Physical Therapy, Inc.

  • Physical Therapist
  • Temecula, CA
  • NPI 1679541320
  NPD

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668729600000",
    "number": "1558070599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1235 W TOWN AND COUNTRY RD APT 1204",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "928684613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32302 CAMINO CAPISTRANO STE 106",
            "city": "SAN JUAN CAPISTRANO",
            "state": "CA",
            "postal_code": "926754505",
            "telephone_number": "949-276-8845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIST",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CA",
            "license": "303189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deisy Kim, MA
• Katharine Sujin Kim
• Michael Jong-Gyu Kim, D.D.S
• Bryan O King, M.D.
• Olutosin Kirya, DTR, CLT
• Barbara Lee Klein-Robuck, MS, RN
• Brian Klein
• Jeffrey Alan Klein, MD
• Cheryl Lynn Klem, LMFT
• Robert Lee Kluss, D.D.S.

• Orthopedic Physical Therapist in San Juan Capistrano, CA
• Providers in San Juan Capistrano, CA by specialty
• Orthopedic Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.