Individual provider Active NPI

Tyler R Allen, PT

  • Physical Therapist
  • Powell, TN
National Provider Identifier
1861959983
Registry record updated Jan 29, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12220 Issued in TN
Practice address
7750 Dannaher Dr
Powell, TN 37849-4039
Phone
(865) 512-1140
Fax
(865) 512-1141
NPI assigned
Feb 25, 2019
Sex
Male
Sole proprietor
No

Organizations & group practices 4

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.

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
12220TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthotennessee Physical Therapist Past Accepting new patients
PT Solutions LLC Physical Therapist PastSince Feb 16, 2020 Accepting new patients
Hovis Orthopaedic Clinic PC Past Accepting new patients
Orthotennessee, PC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: tyler.allen.p1@direct.orthotn.nextgenshare.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12220 TN Primary

Addresses

NPPES NPI Registry

Primary practice location

7750 Dannaher Dr
Powell, TN 37849-4039

Mailing address

7750 Dannaher Dr
Powell, TN 37849-4039
Phone (865) 512-1140

Other practice location 1

19268 Alberta St
Oneida, TN 37841-6061
Phone (423) 567-3790

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
12220OtherTNPT LICENSE

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jan 29, 2025.

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738108800000",
    "number": "1861959983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7750 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494039",
            "telephone_number": "865-512-1140",
            "fax_number": "865-512-1141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7750 DANNAHER DR",
            "city": "POWELL",
            "state": "TN",
            "postal_code": "378494039",
            "telephone_number": "865-512-1140",
            "fax_number": "865-512-1141"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "19268 Alberta St",
            "address_purpose": "LOCATION",
            "city": "Oneida",
            "state": "TN",
            "postal_code": "378416061",
            "country_code": "US",
            "telephone_number": "423-567-3790",
            "fax_number": "423-569-3798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ALLEN",
        "first_name": "TYLER",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-25",
        "last_updated": "2025-01-29",
        "certification_date": "2025-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "12220",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE",
            "identifier": "12220",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powell, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2025; 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.