Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tiffany Lewallen

Individual provider Physical Therapist · NPI 1861947376

Tiffany Lewallen is a 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
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

Other providers in Gulfport