Keith Tisdell
NPI 1477550630 · Occupational Therapist · Kyle, TX
Enrolled with Medicare as Practitioner - Occupational Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Keith Tisdell is a Occupational Therapist provider in Kyle, TX (NPI 1477550630).
Provider details
- NPI number
- 1477550630
- Entity type
- Individual
- Primary specialty
- Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Male
- Sole proprietor
- No
- License
- 10016 (FL)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2005-07-03
- Last updated
- 2012-01-11
Frequently asked questions
- What is Keith Tisdell's NPI number?
- Keith Tisdell's National Provider Identifier (NPI) is 1477550630, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Keith Tisdell's specialty?
- Keith Tisdell is listed in the NPPES registry with a primary specialty of Occupational Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Keith Tisdell located?
- Keith Tisdell's practice location on file with NPPES is 189 Decker, Kyle, TX 78640-5791.
- What is Keith Tisdell's phone number?
- The practice phone number listed in the NPPES registry for Keith Tisdell is (954) 328-5436.
- Does Keith Tisdell accept Medicare?
- Keith Tisdell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Keith Tisdell's NPI active?
- Yes — Keith Tisdell's NPI (1477550630) is active in the NPPES registry as of the last update on 2012-01-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.