Individual provider Active NPI

Tyler Kist, PT, DPT

  • Physical Therapist
  • Oceanside, CA
National Provider Identifier
1558070599
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
303189 Issued in CA
Practice address
821 S Tremont St Ste a
Oceanside, CA 92054-4158
Phone
(760) 542-6666
NPI assigned
Nov 18, 2022
Last updated
Oct 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 303189 CA Primary

Addresses

Primary practice location

821 S Tremont St Ste a
Oceanside, CA 92054-4158

Mailing address

301 Liberty Way
Oceanside, CA 92057-6545
Phone (949) 246-9686

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221228002187 CA Practitioner - Physical Therapist in Private Practice 0547630006 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
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)

3142 Vista Way
Suite 101
Oceanside, CA 92056-3627
Phone (760) 231-7972

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prosport Physical Therapy Professionals Inc Physical Therapist Current Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Prosport Physical Therapy Professionals Inc Physical Therapist CurrentSince Nov 21, 2022 Accepting new patients
Rancho Physical Therapy, Inc. Physical Therapist CurrentSince Feb 1, 2024 Accepting new patients
Jonathan W Blue DPT Inc PastSince Jun 15, 2025 Accepting new patients

Locations

521 E Elder St
Ste 106
Fallbrook, CA 92028
Phone (760) 723-8337

26672 Portola Pkwy
Ste 116
Foothill Rnch, CA 92610
Phone (714) 450-4999

3142 Vista Way
Ste 101
Oceanside, CA 92056
Phone (760) 231-7972

32302 Camino Capistrano
Ste 106
San Juan Capistrano, CA 92675
Phone (949) 276-8845

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1668729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791849600000",
    "number": "1558070599",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 LIBERTY WAY",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920576545",
            "telephone_number": "949-246-9686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "821 S TREMONT ST STE A",
            "city": "OCEANSIDE",
            "state": "CA",
            "postal_code": "920544158",
            "telephone_number": "760-542-6666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIST",
        "first_name": "TYLER",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-11-18",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "303189",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oceanside, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 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.