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

Tyson David Allen

Individual provider Surgical Physician Assistant · NPI 1053911123

Tyson David Allen is a Physician Assistant in Dakota Dunes, South Dakota. Qualified in 2020, 6 years ago. Practices with Sports Rehab and Professional Therapy Associates Inc, a 136-clinician group. Licensed in Iowa.

Years since qualifying
6
Licensed in
IA
In the registry since
2020

Practice location Address checks out

575 N Sioux Point Rd
Dakota Dunes, SD 57049-5312
Phone: (605) 217-2667
Fax: (605) 217-2900
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Physician Assistant (primary) Taxonomy 363AS0400X · Licence 106522 (IA)

Record details

NPI number1053911123
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 28, 2020
Last updated in NPPESJanuary 26, 2021
Certification dateJanuary 26, 2021
Mailing address575 N Sioux Point Rd, Dakota Dunes, SD 57049-5312

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sports Rehab And Professional Therapy Associates Inc — 136 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in Dakota Dunes