Tyson Carter Crisman, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH4381 Issued in AL

Practice address

102 Medical Center Dr Ste G
Prattville, AL 36066-7286

Phone

(334) 239-0708

Fax

(334) 440-8233

NPI assigned

Aug 29, 2006

Last updated

Jun 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AL

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Alabama School of Medicine, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Elite Rehab IncGroup PAC ID 9436476066, 12 clinicians

Veterans Wellness Center of Alabama LLCGroup PAC ID 3072935782, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Elite Rehab Inc

  • Physical Therapist
  • Roanoke, AL
  • NPI 1518361294
  Medicare reassignment Care Compare group NPD
• Veterans Wellness Center of Alabama LLC

  • Urgent Care Clinic/Center
  • Montgomery, AL
  • NPI 1568005056
  Medicare reassignment Care Compare group NPD
• Elite Rehab Holtville LLC

  • Physical Therapy Clinic/Center
  • Deatsville, AL
  • NPI 1649913120

  Physical Therapist

  Medicare reassignment NPD
• Hart Chiropractic LLC

  dba Hart Spine & Rehab

  • Physical Therapy Clinic/Center
  • Montgomery, AL
  • NPI 1578835542
  Medicare reassignment NPD
• Elite Rehab Inc

  dba Elite Rehab @ Capitol City

  • Physical Therapy Clinic/Center
  • Montgomery, AL
  • NPI 1588020606

  Physical Therapist

  NPD
• Trifecta Healthcare Services, LLC.

  dba Veterans Wellness Center of Florida

  • Pain Clinic/Center
  • Montgomery, AL
  • NPI 1255086583
  NPD
• Drayer Physical Therapy Institute LLC

  • Physical Therapist
  • Birmingham, AL
  • NPI 1235422908
  NPD (past)
• Encore Rehabilitation Inc

  • Physical Therapy Clinic/Center
  • Pike Road, AL
  • NPI 1447705272
  NPD (past)
• Health Star Inc

  • Chiropractor
  • Prattville, AL
  • NPI 1982931499
  NPD (past)
• Innerfit West, LLC

  • Physical Therapy Clinic/Center
  • Montgomery, AL
  • NPI 1396780706

  Physical Therapist

  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717372800000",
    "number": "1306954276",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 TAPIA LN",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360676992",
            "telephone_number": "334-546-8822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "102 MEDICAL CENTER DR STE G",
            "city": "PRATTVILLE",
            "state": "AL",
            "postal_code": "360667286",
            "telephone_number": "334-239-0708",
            "fax_number": "334-440-8233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1636 Mulberry St",
            "address_purpose": "LOCATION",
            "city": "Montgomery",
            "state": "AL",
            "postal_code": "361061522",
            "country_code": "US",
            "telephone_number": "334-265-3199",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CRISMAN",
        "first_name": "TYSON",
        "middle_name": "CARTER",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-29",
        "last_updated": "2024-06-03",
        "certification_date": "2024-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH4381",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "PTH4381",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Art Cowart
• Charlotte Cox
• Shelby Cox
• Shannon Craig, DC
• Caitlin Crawford
• Abreascia Crockett, REGISTERED NURSE
• James E Crockett, O.D.
• Zachary Crothers, ATC
• Kimberly Crowe, OTR/L
• Caroline Galdina Cruz

• Physical Therapist in Prattville, AL
• Providers in Prattville, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2024; 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.

Verify at the official NPI Registry.