P Praxis·MD
● Active Type 1 · Individual

Mary Lesie Kyzer, PTA

Physical Therapy Assistant·Vidalia, GA· NPI 1619187002 · Enumerated 2007 · 19 years on NPI
Kyzer is 1 of 3 physical therapy assistant providers in Vidalia and 1 of 1124 in Georgia.
NPI age
19 years
Enumerated 2007-05-23
Primary specialty
Physical Therapy Assistant
Licensed in
GA
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 1124 active physical therapy assistant providers in Georgia.

NPI age
19 years
↑ 10 yr above median (9 yr)
State licenses
1 state
6% of peers hold multiple states
Subspecialties
0
8% of peers hold subspecialties

NPI lifetime · 2007 → 2026

2007-05Enumerated in NPPES
2007 2026

Where they practice

Practice location
101 Harris Industrial Blvd
Vidalia, GA 30474
📞 9122772044
Mailing address
104 Lakeview Dr
Wrightsville, GA 310961836
📞 4788642022

Specialties

  • Physical Therapy Assistant Primary
    (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or...
    GA license #PTA1383 taxonomy 225200000X

Practice context

Part of a multi-provider practice. 25 other active providers share this practice address in NPPES.

Provyx · Custom healthcare lists

Need all 1124 Physical Therapy Assistant providers in Georgia?

Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.

Request a quote →

How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

Related