Active NPI
Dallas Tew
- Physical Therapist
- Atlanta, GA
National Provider Identifier
1700253390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014384
- Practice address
- 855 Peachtree St NE
Atlanta, GA 30308-7400 - Phone
- (404) 874-3467
- Fax
- (404) 874-5858
- NPI assigned
- Aug 31, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014384 | GA | Primary |
| Physical Therapist | 225100000X |
Addresses
Primary practice location
855 Peachtree St NE
Atlanta, GA 30308-7400
Mailing address
855 Peachtree St NE
Atlanta, GA 30308-7400
Phone (404) 874-3467
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT30764 | Other | FL | DOCTORATE PHYSICAL THERAPY |
Other names 1
- Dr. Dallas Tew
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT014384 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehabclinics SPT Inc | Physical Therapist | Past | Accepting new patients |
| Gulf Breeze Physical Therapy Inc. | 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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1440979200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1770681600000",
"number": "1700253390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "855 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303087400",
"telephone_number": "404-874-3467",
"fax_number": "404-874-5858"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "855 PEACHTREE ST NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303087400",
"telephone_number": "404-874-3467",
"fax_number": "404-874-5858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TEW",
"first_name": "DALLAS",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-08-31",
"last_updated": "2026-02-10",
"certification_date": "2026-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014384",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DOCTORATE PHYSICAL THERAPY",
"identifier": "PT30764",
"state": "FL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DALLAS",
"last_name": "TEW",
"prefix": "DR.",
"credential": "DPT",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.