Active NPI
Allen Tyler Nance, P.T.
- Physical Therapist
- Gautier, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 00004730
- Practice address
- 6510 Highway 90 Ste D
Gautier, MS 39553-5015 - Phone
- (228) 875-7259
- Fax
- (228) 438-2038
- NPI assigned
- Jun 16, 2005
- Last updated
- Mar 12, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 00004730 | TN | |
| Physical Therapist | 225100000X | 00004730 | TN | Primary |
Addresses
Primary practice location
6510 Highway 90 Ste D
Gautier, MS 39553-5015
Mailing address
PO Box 200880
Dallas, TX 75320-0880
Phone (678) 837-7176
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3652689 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, VA, MS
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
6510 Hwy 90
Suite D
Gautier, MS 39553-5015
Phone (228) 438-2038
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 00004730 | TN | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| PT Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy Center of Ocean Springs, LLC | Physical Therapist | Current | Accepting new patients |
| PT Solutions, LLC | Current | Accepting new patients | |
| PT Solutions, LLC | Physical Therapist | Current | Accepting new patients |
| PT Solutions LLC | Physical Therapist | Current | Accepting new patients |
| Takoma Regional Hospital, Inc | Past | Accepting new patients | |
| PT Solutions LLC | Physical Therapist | Past | Accepting new patients |
Locations
1100 Circle 75 Pkwy SE
Ste 1400
Atlanta, GA 30339
Phone (678) 403-3555
6510 Highway 90
#D
Gautier, MS 39553
Phone (228) 438-2038
900 Holcomb Blvd
#A
Ocean Springs, MS 39564
Phone (228) 872-6821
1321 Tusculum Blvd
Unit 9
Greeneville, TN 37745
Phone (423) 798-8420
3135 Peoples St
Johnson City, TN 37604
Phone (423) 454-1006
444 Clinchfield St
Ste 102
Kingsport, TN 37660
Phone (423) 212-5966
11135 Kingston Pike
Knoxville, TN 37934
Phone (865) 381-5658
54 Floyd Pike
Hillsville, VA 24343
Phone (276) 728-7280
1050 Holston Rd
Wytheville, VA 24382
Phone (276) 238-8900
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba PT Solutions
- Physical Therapist
- Ocean Springs, MS
- NPI 1578647780
-
- Physical Therapist
- Greeneville, TN
- NPI 1184190167
-
- Physical Therapist
- Johnson City, TN
- NPI 1962956367
-
- Physical Therapist
- Wytheville, VA
- NPI 1861946329
-
- Physical Therapy Clinic/Center
- Galax, VA
- NPI 1730600016
-
dba Greeneville Community Hospital Psychiatric
- Psychiatric Hospital Unit
- Greeneville, TN
- NPI 1265561450
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1741737600000",
"number": "1124023197",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 200880",
"city": "DALLAS",
"state": "TX",
"postal_code": "753200880",
"telephone_number": "678-837-7176",
"fax_number": "404-777-1311"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6510 HIGHWAY 90 STE D",
"city": "GAUTIER",
"state": "MS",
"postal_code": "395535015",
"telephone_number": "228-875-7259",
"fax_number": "228-438-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NANCE",
"first_name": "ALLEN",
"middle_name": "TYLER",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2025-03-12",
"certification_date": "2025-03-12",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TN",
"license": "00004730",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "00004730",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3652689",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Gautier, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.