NPI age
20 years
Enumerated 2005-07-03
● Active
Type 1 · Individual
Keith Tisdell
Tisdell is 1 of 7 occupational therapist providers in Kyle and 1 of 7986 in Texas.
Primary specialty
Occupational Therapist
Plus 1 subspecialty
Licensed in
FL
1 state
Status
Active
No deactivations on record
Last NPPES update
2012-01-11
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org
How this provider compares
Across 7986 active occupational therapist providers in Texas.
NPI age
20 years
↑ 11 yr above median (9 yr)
State licenses
1 state
4% of peers hold multiple states
Subspecialties
0
12% of peers hold subspecialties
NPI lifetime · 2005 → 2026
2005-07Enumerated in NPPES
2005
2026
Where they practice
Practice location
189 Decker
Kyle, TX 786405791
Mailing address
189 Decker
Kyle, TX 786405791
Specialties
-
Occupational Therapist PrimaryAn occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (FL) | 887054300 |
Practice context
Solo or small practice. No other active providers share this practice address in NPPES.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Check the state license is currently active.State licensing boards publish current status; NPPES does not.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.