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

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