IndividualActive
Kelly Fryer-Tisevich, P.T.
NPI 1902834807 · Specialist · Canton, OH
Kelly Fryer-Tisevich, P.T. is a Specialist provider in Canton, OH (NPI 1902834807).
Provider details
- NPI number
- 1902834807
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- License
- PT10607 (OH)
Specialties & taxonomies
Other Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
4650 Hills and Dales Rd Nw
Suite 100
Canton, OH 44708-6220
Phone: (330) 477-9720
Street-level locationGet directions
Mailing address
4650 Hills and Dales Rd Nw
Canton, OH 44708-6220
Registry dates
- Enumerated
- 2006-06-29
- Last updated
- 2007-09-24
Frequently asked questions
- What is Kelly Fryer-Tisevich's NPI number?
- Kelly Fryer-Tisevich's National Provider Identifier (NPI) is 1902834807, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Kelly Fryer-Tisevich's specialty?
- Kelly Fryer-Tisevich is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Kelly Fryer-Tisevich located?
- Kelly Fryer-Tisevich's practice location on file with NPPES is 4650 Hills and Dales Rd Nw, Canton, OH 44708-6220.
- What is Kelly Fryer-Tisevich's phone number?
- The practice phone number listed in the NPPES registry for Kelly Fryer-Tisevich is (330) 477-9720.
- Is Kelly Fryer-Tisevich's NPI active?
- Yes — Kelly Fryer-Tisevich's NPI (1902834807) is active in the NPPES registry as of the last update on 2007-09-24.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.