Individual provider Active NPI

Alexander T Luy, PT

  • Physical Therapist
  • Jackson, TN
National Provider Identifier
1962574038
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1966 Issued in TN
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, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
3654228MedicaidTN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111013000626 TN Practitioner - Physical Therapist in Private Practice 2062474463 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
TN Therapy Outsource, LLC Physical Therapist CurrentSince Aug 20, 2025 Accepting new patients
Physical Therapy of Dyersburg PC Physical Therapist PastSince Dec 1, 2004 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.

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.

Verify at the official NPI Registry.