KEITH TISDELL
NPI 1477550630
Occupational Therapist in Kyle, TX
About Keith Tisdell NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEITH TISDELL (NPI 1477550630) is an individual occupational therapist in Kyle, Texas, licensed in Florida (113654) and active in the NPI registry since July 2005. He is a graduate of Other (2001).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Keith Tisdell is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignment
Medicare enrollment records show Keith Tisdell reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Santa Fe, NM 87507
- Reassigned Medicare billing, Florida enrollment
- 264 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Keith Tisdell's NPI number?
The NPI number for Keith Tisdell is 1477550630. It was assigned to this individual provider in the NPPES registry on July 3, 2005.
Where is Keith Tisdell located?
Keith Tisdell practices at 189 Decker, Kyle, TX 78640. The listed phone number is (954) 328-5436.
What is Keith Tisdell's specialty?
The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.
Is Keith Tisdell enrolled in Medicare?
Yes. Keith Tisdell is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organization bills Medicare for Keith Tisdell's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Keith Tisdell reassigns Medicare benefits to Legacy Healthcare Services Inc (Santa Fe, NM). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keith Tisdell's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Keith Tisdell accept?
Health plans from Molina Healthcare list Keith Tisdell as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Keith Tisdell was last updated on January 11, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.