Individual provider Active NPI

Kevin Tyer, DPT

  • Specialist
  • West Columbia, SC
National Provider Identifier
1700024155
Registry record updated Feb 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
5901 Issued in SC
Practice address
132 Sunset CT
Suite B
West Columbia, SC 29169-2429
Phone
(803) 796-5116
Fax
(803) 796-5131
NPI assigned
Jan 22, 2009
Last updated
Feb 24, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 5901 SC Primary

Addresses

Primary practice location

132 Sunset CT
Suite B
West Columbia, SC 29169-2429

Mailing address

132B Sunset CT
West Columbia, SC 29169-2429
Phone (803) 796-5116

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5091SCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Therapy Solutions, LLC Specialist PastSince Jun 13, 2011 Accepting new patients

Organizations & group practices 1

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": "1232582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1235433600000",
    "number": "1700024155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "132B SUNSET CT",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-796-5116",
            "fax_number": "803-796-5131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 SUNSET CT",
            "address_2": "SUITE B",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291692429",
            "telephone_number": "803-796-5116",
            "fax_number": "803-796-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYER",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-22",
        "last_updated": "2009-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "SC",
            "license": "5901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; 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.