Individual provider Active NPI

Tyra Mitchell-Williams, DPT, MHA, CLT, CEAS

  • Physical Therapist
  • New Orleans, LA
National Provider Identifier
1477632792
Registry record updated Jun 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
4023 Tchoupitoulas St
New Orleans, LA 70115-1432
Phone
(504) 603-0068
NPI assigned
Nov 6, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X LA Primary

Addresses

Primary practice location

4023 Tchoupitoulas St
New Orleans, LA 70115-1432

Mailing address

4023 Tchoupitoulas St
New Orleans, LA 70115-1432
Phone (504) 603-0068

Other names 1

  • Dr. Tyra Mitchell Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PT008433GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Riverside Wellness Works Physical Therapist Current Accepting new patients
Physiotherapy Associates Physical Therapist Past Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782518400000",
    "number": "1477632792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4023 TCHOUPITOULAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151432",
            "telephone_number": "504-603-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4023 TCHOUPITOULAS ST",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701151432",
            "telephone_number": "504-603-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MITCHELL-WILLIAMS",
        "first_name": "TYRA",
        "name_prefix": "Dr.",
        "credential": "DPT, MHA, CLT, CEAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-06",
        "last_updated": "2026-06-27",
        "certification_date": "2026-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TYRA",
            "last_name": "MITCHELL",
            "prefix": "DR.",
            "credential": "DPT, MHA, CLT, CEAS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Orleans, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.