Megan Nicole Tidey, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

29324 Issued in MD

Practice address

30 E Padonia Rd Ste 104
Lutherville Timonium, MD 21093-2347

Phone

(410) 823-8061

Fax

(443) 901-3099

NPI assigned

Feb 6, 2023

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 MD

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Centers for Advanced ENT Care LLCGroup PAC ID 1658647359, 103 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Centers for Advanced ENT Care, LLC

  • Otolaryngology Physician
  • Baltimore, MD
  • NPI 1447781620
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675641600000",
    "number": "1467158949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6565 N CHARLES ST STE 601",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212045801",
            "telephone_number": "410-823-8061",
            "fax_number": "443-901-3099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 E PADONIA RD STE 104",
            "city": "LUTHERVILLE TIMONIUM",
            "state": "MD",
            "postal_code": "210932347",
            "telephone_number": "410-823-8061",
            "fax_number": "443-901-3099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDEY",
        "first_name": "MEGAN",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "29324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tethys Health Ventures LLC
• The Wesley
• Therafit Enterprises Inc
• Kathryn Jane Thomas, APRN, PHD
• Thryv Health & Wellness LLC
• Cheryl Townsend, LCPC
• Patrick Trentalange, LCSW-C
• Elaine Carmella Tretter, LIC. AC., RN
• Shelly Trivett
• Nina Tu, MD

• Physical Therapist in Lutherville Timonium, MD
• Providers in Lutherville Timonium, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.