Individual provider Active NPI

Tyler Duane Alford, PT, DPT

  • Physical Therapist
  • Macon, GA
National Provider Identifier
1508358417
Registry record updated Feb 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT014498 Issued in GA
Practice address
3708 Northside Dr
Macon, GA 31210-2404
Phone
(478) 745-4206
NPI assigned
Jun 6, 2018
Last updated
Feb 18, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH8898 AL
Physical Therapist 225100000X PT014498 GA Primary

Addresses

Primary practice location

3708 Northside Dr
Macon, GA 31210-2404

Mailing address

3708 Northside Dr
Macon, GA 31210-2404
Phone (478) 745-4206

Other practice location 1

3014 Allison Bonnett Memorial Dr
Hueytown, AL 35023-2392
Phone (205) 744-9444

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190312002597 AL Practitioner - Physical Therapist in Private Practice 1355681263 Reassigns benefits to 1 organization
I20200522001727 GA Practitioner - Physical Therapist in Private Practice 1355681263 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
PT Solutions of Montgomery LLCGroup PAC ID 6305891037, 10 clinicians
PT Solutions of Acworth LLCGroup PAC ID 0042291817, 17 clinicians

Practice addresses (Care Compare)

209 W College St
Columbiana, AL 35051-9724
Phone (205) 210-4890

351 Northside Dr
Valdosta, GA 31602-1861
Phone (229) 262-3377

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH8898ALMDPhysical Therapist
PT014498GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
PT Solutions of Acworth, LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
PT Solutions of Acworth LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients
PT Solutions of Montgomery, LLC Physical Therapist CurrentSince Mar 3, 2025 Accepting new patients

Locations

209 W College St
Columbiana, AL 35051
Phone (205) 210-4890

7061 Halcyon Summit Dr
Montgomery, AL 36117
Phone (334) 396-2110

7850 Vaughn Rd
Ste 100
Montgomery, AL 36116
Phone (334) 396-2110

351 Northside Dr
Valdosta, GA 31602
Phone (229) 262-3377

2061 Experiment Station Rd
Ste 403
Watkinsville, GA 30677
Phone (844) 734-2204

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581984000000",
    "number": "1508358417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-745-4206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3708 NORTHSIDE DR",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312102404",
            "telephone_number": "478-745-4206"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3014 Allison Bonnett Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Hueytown",
            "state": "AL",
            "postal_code": "350232392",
            "country_code": "US",
            "telephone_number": "205-744-9444",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "TYLER",
        "middle_name": "DUANE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2020-02-18",
        "certification_date": "2020-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8898",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT014498",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2020; 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.