Lauren D Tidwell

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

2021 K St NW Ste 300
Washington, DC 20006-1012

Phone

(301) 942-7600

Fax

(202) 419-0418

NPI assigned

Jan 22, 2021

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Center for Neuromuscular and Massage Rehabilitation LLC

  • Physical Therapist
  • Washington, DC
  • NPI 1700080496
  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1611273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655337600000",
    "number": "1114517257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2730 UNIVERSITY BLVD W STE 310",
            "city": "WHEATON",
            "state": "MD",
            "postal_code": "209021990",
            "telephone_number": "301-942-3126",
            "fax_number": "301-942-3521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 K ST NW STE 300",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200061012",
            "telephone_number": "301-942-7600",
            "fax_number": "202-419-0418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "LAUREN",
        "middle_name": "D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-01-22",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattie Tibbs
• Chanceline Ngehbenwi Tibui
• Ashley Nicole Tice, AU.D.
• Divine F. Ticha
• Judith Yeager Tiddy, NP
• Eucheria Tiebia
• Lindsay H Tiell, MSW, LICSW, LCSW-C
• Brett Phillip Tielman-Fenelus
• Niven T Tien, DDS,MD
• Josiane Tienkoue Yamassi

• Physical Therapist in Washington, DC
• Providers in Washington, DC by specialty
• Physical Therapist in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.