We propose a mechanically programmable nanoscale Chern valve based on an altermagnet–topologicalinsulator (AM–TI) heterostructure, where thin altermagnetic electrodes impose an anisotropic exchange mass on the surface states of a few-quintuple-layer topological-insulator channel. Periodic strain, delivered for example by integrated piezoelectric or surface-acoustic-wave actuators, modulates the inplane crystalline phase of the altermagnetic order and renormalizes the twofold and fourfold interfacial exchange harmonics through zeroth-order Bessel functions. This amplitude-selective renormalization produces re-entrant Chern plateaus, Hall and thermoelectric polarity inversions, and quantized adiabatic charge pumping with winding number changing from 0 to 2. For representative RuO2/Bi2Se3 parameters, the induced gaps remain in the meV range, while MHz mechanical driving places the system deeply within the adiabatic regime. The predicted signatures are directly accessible in nanoscale Hall-bar geometries through the strain-amplitude dependence of transverse Hall response, gate-tracked thermoelectric Hall response, and the collapse of topological sectors near Bessel zeros. The proposed mechanism therefore provides a low-frequency, on-chip route to mechanically controlled topological transport in nano-spintronic AM–TI devices, without optical Floquet driving or net magnetization reversal.