Active NPI
Alexander T Luy, PT
- Physical Therapist
- Jackson, TN
National Provider Identifier
1962574038
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1966
- Practice address
- 2782 N Highland Ave
Suite a
Jackson, TN 38305-1798 - Phone
- (731) 664-1172
- Fax
- (731) 664-3139
- NPI assigned
- Nov 14, 2006
- Last updated
- Sep 11, 2025
- 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 | 1966 | TN | Primary |
| Orthopedic Physical Therapist | 2251X0800X | 1966 | TN |
Addresses
Primary practice location
2782 N Highland Ave
Suite a
Jackson, TN 38305-1798
Mailing address
2782 N Highland Ave
Suite a
Jackson, TN 38305-1798
Phone (731) 664-1172
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3654228 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| TN Therapy Outsource, LLC | Physical Therapist | Current | Accepting new patients |
| Physical Therapy of Dyersburg PC | Physical Therapist | Past | Accepting new patients |
Locations
2782 N Highland Ave
Ste A
Jackson, TN 38305
Phone (731) 664-1172
Organizations & group practices 3
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.
-
- Physical Therapy Clinic/Center
- Jackson, TN
- NPI 1841247418
-
dba Gerihab Physical Therapy and Wellness
- Physical Therapist
- Jackson, TN
- NPI 1891285185
-
- Physical Therapist
- Dyersburg, TN
- NPI 1649218140
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757548800000",
"number": "1962574038",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2782 N HIGHLAND AVE",
"address_2": "SUITE A",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051798",
"telephone_number": "731-664-1172",
"fax_number": "731-664-3139"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2782 N HIGHLAND AVE",
"address_2": "SUITE A",
"city": "JACKSON",
"state": "TN",
"postal_code": "383051798",
"telephone_number": "731-664-1172",
"fax_number": "731-664-3139"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUY",
"first_name": "ALEXANDER",
"middle_name": "T",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-14",
"last_updated": "2025-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "1966",
"primary": true
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TN",
"license": "1966",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3654228",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.