Individual provider Active NPI

Alan D Tyson, PT

  • Orthopedic Physical Therapist
  • Charlotte, NC
National Provider Identifier
1548244908
Registry record updated Apr 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2487 Issued in NC
Practice address
11415 Golf Links Dr Ste 102
Charlotte, NC 28277-8229
Phone
(980) 470-5551
Fax
(980) 470-5551
NPI assigned
Nov 30, 2005
Last updated
Apr 13, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2026

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 10819 SC
Orthopedic Physical Therapist 2251X0800X 2487 NC Primary

Addresses

Primary practice location

11415 Golf Links Dr Ste 102
Charlotte, NC 28277-8229

Mailing address

1429 Bryant St Ste a
Charlotte, NC 28208-5201
Phone (704) 919-0867

Other practice location 1

857 Promenade Walk
Fort Mill, SC 29708-6992
Phone (803) 547-1133

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20051205000639 NC Practitioner - Physical Therapist in Private Practice 9436179447 Reassigns benefits to 1 organization
I20211216001160 SC Practitioner - Physical Therapist in Private Practice 9436179447 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Architech Sports and Physical Therapy LLCGroup PAC ID 5496819914, shared by 2 NPIs, 44 clinicians

Practice addresses (Care Compare)

857 Promenade Walk
Fort Mill, SC 29708-6992
Phone (803) 547-1133

8918 Blakeney Professional Dr
Suite 120
Charlotte, NC 28277-6692
Phone (704) 900-8960

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10819SCMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Architech Sports and Physical Therapy, LLC Physical Therapist CurrentSince Dec 15, 2008 Accepting new patients
Architech Sports and Physical Therapy, LLC Orthopedic CurrentSince Dec 15, 2008 Accepting new patients

Locations

11415 Golf Links Dr
Ste 102
Charlotte, NC 28277
Phone (980) 470-5551

1429 Bryant St
Ste A
Charlotte, NC 28208
Phone (704) 919-0867

8918 Blakeney Professional Dr
Ste 120
Charlotte, NC 28277
Phone (704) 609-0357

9405 Bryant Farms Rd
Charlotte, NC 28277
Phone (980) 207-2707

857 Promenade Walk
Fort Mill, SC 29708
Phone (803) 547-1133

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, 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": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776038400000",
    "number": "1548244908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1429 BRYANT ST STE A",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282085201",
            "telephone_number": "704-919-0867",
            "fax_number": "704-817-8579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11415 GOLF LINKS DR STE 102",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778229",
            "telephone_number": "980-470-5551",
            "fax_number": "980-470-5551"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "857 Promenade Walk",
            "address_purpose": "LOCATION",
            "city": "Fort Mill",
            "state": "SC",
            "postal_code": "297086992",
            "country_code": "US",
            "telephone_number": "803-547-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "ALAN",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-30",
        "last_updated": "2026-04-13",
        "certification_date": "2026-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10819",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NC",
            "license": "2487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2026; 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.