Individual provider Active NPI

Joshua Tyson, PT, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1699652453
Registry record updated May 28, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P24333 Issued in NC
Practice address
718 Gesco St Apt 234
Charlotte, NC 28208-4377
Phone
(716) 535-9409
NPI assigned
Aug 21, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 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 P24333 NC Primary

Addresses

Primary practice location

718 Gesco St Apt 234
Charlotte, NC 28208-4377

Mailing address

718 Gesco St Apt 234
Charlotte, NC 28208-4377
Phone (716) 535-9409

Other practice location 1

205 Overhill Dr
Mooresville, NC 28117-7000
Phone (724) 815-7050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251001002416 NC Practitioner - Physical Therapist in Private Practice 2062918725 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8121 Kensington Dr
Suite E
Waxhaw, NC 28173-0311
Phone (704) 256-5115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
P24333NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Agilitas USA Inc Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Physical Therapy and Hand Specialist, LLC CurrentSince Aug 25, 2025 Accepting new patients
Drayer Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Physical Therapy and Hand Specialists, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Benchmark Physical Therapy of North Carolina LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Benchmark Physical Therapy of NC, LLC Physical Therapist CurrentSince Aug 25, 2025 Accepting new patients
Tyson Rehab and Performance, LLC Current Accepting new patients
Adm Physical Therapy, LLC Physical Therapist Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

207 E Meadow Rd
Ste 3
Eden, NC 27288
Phone (336) 627-3771

10020 Monroe Rd
Ste 160
Matthews, NC 28105
Phone (704) 841-0894

1901 NW Cary Pkwy
Ste 110
Morrisville, NC 27560
Phone (919) 678-1525

1520 Sunday Dr
Ste 105
Raleigh, NC 27607
Phone (919) 420-1682

8121 Kensington Dr
Ste E
Waxhaw, NC 28173
Phone (704) 256-5115

Organizations & group practices 9

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": "1755734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779926400000",
    "number": "1699652453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 GESCO ST APT 234",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084377",
            "telephone_number": "716-535-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 GESCO ST APT 234",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282084377",
            "telephone_number": "716-535-9409"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "205 Overhill Dr",
            "address_purpose": "LOCATION",
            "city": "Mooresville",
            "state": "NC",
            "postal_code": "281177000",
            "country_code": "US",
            "telephone_number": "724-815-7050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TYSON",
        "first_name": "JOSHUA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-08-21",
        "last_updated": "2026-05-28",
        "certification_date": "2026-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P24333",
            "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 May 28, 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.