Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Tiffany Lewallen

Individual provider Physical Therapist · NPI 1861947376

Tiffany Lewallen is registered under Physical Therapist in Private Practice in Gulfport, Mississippi. Graduated from University of Mississippi School of Medicine in 2016, 10 years ago. Practices with Bienville Therapy, LLC, a 25-clinician group and accepts Medicare assignment.

Years since qualifying
10
Trained at
University of Mississippi School of Medicine
In the registry since
2016
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Practice location Address checks out

15476B Dedeaux Rd
Gulfport, MS 39503-2637 Not confirmed with CMS for 10 years — call before visiting
Phone: (228) 539-3232
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1861947376
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2016
Last updated in NPPESAugust 25, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolUNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE
Graduated 2016 (10 years in practice)
Group practice Bienville Therapy, Llc — 25 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients198
Services billed 3,573 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Bienville Therapy, LLC

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 25 clinicians in the practice; 12 are shown here.

Other providers in Gulfport