Mae Diploma Tidalgo

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PTH8746 Issued in AL

Practice address

2630 Barkley Bridge Rd SW
Hartselle, AL 35640-5111

Phone

(256) 318-7500

NPI assigned

Feb 1, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1548979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1356806574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 BARKLEY BRIDGE RD SW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356405111",
            "telephone_number": "256-318-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2630 BARKLEY BRIDGE RD SW",
            "city": "HARTSELLE",
            "state": "AL",
            "postal_code": "356405111",
            "telephone_number": "256-318-7500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDALGO",
        "first_name": "MAE",
        "middle_name": "DIPLOMA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-01",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8746",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "CP050840T",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1284660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jaime L Summerford, COTA
• Gina Denise Tedford
• Mary Guyton Thompson, LPTA
• Steven Thrasher, MS, RDN.
• Thru the Woods LLC
• Haley Townsend, SLPA
• Joseph M Tucker, PT
• Robin Grace Tumlinson
• Vanessa Dale Turner, PHARMACIST
• Urgent Care Northwest PC

• Physical Therapist in Hartselle, AL
• Providers in Hartselle, AL by specialty
• Physical Therapist in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.