Individual provider Active NPI

Mary McKinney Tyson, PT CHT

  • Hand Physical Therapist
  • Austin, TX
National Provider Identifier
1659336147
Registry record updated Nov 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
9410000128 Issued in TX
Practice address
4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295
Phone
(512) 439-1000
Fax
(512) 439-1081
NPI assigned
Apr 19, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X 9410000128 TX Primary
Physical Therapist 225100000X 944 OK
Physical Therapist 225100000X 1051555 TX

Addresses

Primary practice location

4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295

Mailing address

4700 Seton Center Pkwy
Suite 200
Austin, TX 78759-5295
Phone (512) 439-1000

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
9410000128TXMDHand Physical Therapist
944OKMDSpeech-Language Pathologist

Interoperability endpoints

  • Direct secure messaging: mary.tyson.1@15533.direct.athenahealth.com

NPI Registry JSON

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574208000000",
    "number": "1659336147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595295",
            "telephone_number": "512-439-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 SETON CENTER PKWY",
            "address_2": "SUITE 200",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787595295",
            "telephone_number": "512-439-1000",
            "fax_number": "512-439-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TYSON",
        "first_name": "MARY",
        "middle_name": "MCKINNEY",
        "credential": "PT CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-19",
        "last_updated": "2019-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "TX",
            "license": "9410000128",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OK",
            "license": "944",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1051555",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austin, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2019; 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.