Organization Active NPI

Tyson Rehab and Performance, LLC

  • Physical Therapy Clinic/Center
  • Charlotte, NC
National Provider Identifier
1861349284
Registry record updated Mar 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TYSON REHAB AND PERFORMANCE, LLC
Practice address
718 Gesco St Apt 234
Charlotte, NC 28208-4377
Phone
(716) 535-9409
NPI assigned
Mar 13, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2026

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

Authorized official

Name
Dr. Joshua Keith Tyson, PT, DPT, CSCSNPI 1699652453
Title
Physical Therapist, Owner
Phone
(716) 535-9409

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 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

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1773360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773360000000",
    "number": "1861349284",
    "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": [],
    "basic": {
        "organization_name": "TYSON REHAB AND PERFORMANCE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-13",
        "last_updated": "2026-03-13",
        "certification_date": "2026-03-13",
        "status": "A",
        "authorized_official_last_name": "TYSON",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KEITH",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST, OWNER",
        "authorized_official_telephone_number": "716-535-9409",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT, CSCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "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 Mar 13, 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.

Verify at the official NPI Registry.