Keith Tisdell
Keith Tisdell is registered under Occupational Therapist in Private Practice in Kyle, Texas. Qualified in 2001, 25 years ago. Practices with Legacy Healthcare Services Inc, a 3,624-clinician group and accepts Medicare assignment. Licensed in Florida.
- Years since qualifying
- 25
- Licensed in
- FL
- In the registry since
- 2005
- Specialties on file
- 2
Practice location Address checks out
189 DeckerKyle, TX 78640-5791 Not confirmed with CMS for 14 years — call before visiting
Phone: (954) 328-5436
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 113654 (FL) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 10016 (FL) |
Record details
| NPI number | 1477550630 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | July 3, 2005 |
| Last updated in NPPES | January 11, 2012 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 2001 (25 years in practice) |
| Group practice | Legacy Healthcare Services Inc — 3624 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
Colleagues at Legacy Healthcare Services Inc
- MS. Aryanna Katryne Amini, MD, MS Student in an Organized Health Care Education/Training Program · Shenandoah, TX
- Sarah B Castro Occupational Therapist · Parkville, MD
- Margaret Deberry Coleman, PT Physical Therapist · Mt Pleasant, SC
- Mrs. Kimberly M Fonder, OTR/L Occupational Therapist · Burlington, NC
- Mrs. Susanne A Galvin, PA Surgical Physician Assistant · Colorado Springs, CO
- Dr. Gregg Robert Gladhart, MD Family Medicine Physician · Asheville, NC
- Miss. Kimberly Hodoval, MSOTR/L Pediatric Occupational Therapist · Aurora, CO
- Mr. Austin Alan Isham, DPT Physical Therapist · Cedar Rapids, IA
- Timothy O'Donnell, MD Family Medicine Physician · Durham, NC
- MS. Mira J Rollins, OTR Occupational Therapist · Dallas, TX
- Dr. Burton Lasater Scott, MD Neurology Physician · Durham, NC
- Dr. Leonard James Waldenberger, MD Internal Medicine Physician · Tallahassee, FL
Other providers in Kyle
-
Kathryn Kori Jones
160 Santiago, Kyle, TX 78640-3115 · (512) 921-6369
-
Loren Nicole Moses, OTR/L
407 S Old Highway 81, Kyle, TX 78640-5310 · (512) 504-3035
-
MS. Susan Jean Nickelson, OTRIL
407 S Old Highway 81, Kyle, TX 78640-5310 · (512) 504-3035
-
Mrs. Karen Rene Ratcliff, OTR
407 S Old Highway 81, Kyle, TX 78640-5310 · (210) 722-7998