MR. TYLER M KEISKER (PT) – Physical Therapist, NPI 1396310793

MR. TYLER M KEISKER (PT) is a healthcare provider. based in Atlanta, Georgia. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT015263 (GA). The NPI Number for MR. TYLER M KEISKER (PT) is 1396310793

Main info

Male
5 Years Of Experience
Accepts Medicare Assignment
Name
MR. TYLER M KEISKER (PT)
NPI
1396310793
Phone
(404) 477-5555
Address
5290 ROSWELL RD STE W
Enumeration Date
26 May 2021
Last Update Date
26 May 2021

Doctor Profile

Medical School Name
MERCER UNIVERSITY SCHOOL OF MEDICINE
Secondary Phone
4044775555
Graduation Year
2021 (5 years ago)
PAC ID
0446652002
Group Practice PAC ID
1557402625
Professional Enrollment ID
I20210706002226
Address ID
GA303421978AT5290XRDXX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience34
Completeness75
Years active:5State licenses:1Digital endpointsOther names

2,871 PHYSICAL THERAPIST IN PRIVATE PRACTICE in GA

Provider Addresses for MR. TYLER M KEISKER (PT)

  • 5290 ROSWELL RD STE W

    ATLANTA, GA 303421978

    Phone: (404) 477-5555

    Fax: (404) 477-5556

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-07-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20210706002226IPhysical Therapist In Private PracticeGATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes60953$0
97140Therapy procedure using manual technique, each 15 minutes46249$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes43249$0
97530Therapy procedure using functional activities10537$0
97161Evaluation for physical therapy, typically 20 minutes2926$0
View full utilization report →

Insurance plans in this area (ZIP 30342)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557402625View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA
Physical Medicine And RehabilitationGA
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What number should I use to identify MR. TYLER M KEISKER (PT) for billing?
Administrative and clinical systems typically use NPI 1396310793 for MR. TYLER M KEISKER (PT).
Is MR. TYLER M KEISKER (PT)'s NPI status active today?
Active status means MR. TYLER M KEISKER (PT)'s NPI record is not deactivated in the public file.
What does the directory say MR. TYLER M KEISKER (PT) does?
Insurance directories may phrase it differently, but here MR. TYLER M KEISKER (PT) maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Can patients visit MR. TYLER M KEISKER (PT) in Atlanta, Georgia?
For routing, start with Atlanta, Georgia for MR. TYLER M KEISKER (PT), then verify phone and hours locally.
Why is information missing for MR. TYLER M KEISKER (PT)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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