Cole A Tidemann, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

16080-24 Issued in WI

Practice address

5333 N Port Washington Rd Ste B
Glendale, WI 53217-4914

Phone

(414) 716-1770

Fax

(414) 716-1772

NPI assigned

Feb 10, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA, WI2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Team Rehabilitation Services LLCGroup PAC ID 2264479518, 569 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

81.73 of 100Reported as group

Quality

87.86

Improvement activities

40

Cost

61.36

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.

• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Menomonee Falls, WI
  • NPI 1144990490
  Medicare reassignment Care Compare group NPD
• Progress Physical Therapy LLC

  • Physical Therapist
  • Philadelphia, PA
  • NPI 1164851085
  Medicare reassignment NPD
• Team Rehabilitation Services, LLC

  • Physical Therapist
  • Marietta, GA
  • NPI 1508538158
  NPD

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

{
    "created_epoch": "1612915200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739750400000",
    "number": "1720670706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33900 HARPER AVE STE 104",
            "city": "CLINTON TWP",
            "state": "MI",
            "postal_code": "480354258",
            "telephone_number": "586-350-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5333 N PORT WASHINGTON RD STE B",
            "city": "GLENDALE",
            "state": "WI",
            "postal_code": "532174914",
            "telephone_number": "414-716-1770",
            "fax_number": "414-716-1772"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1905 N Calhoun Rd Ste 105",
            "address_purpose": "LOCATION",
            "city": "Brookfield",
            "state": "WI",
            "postal_code": "530055008",
            "country_code": "US",
            "telephone_number": "262-333-0040",
            "fax_number": "262-333-0041",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIDEMANN",
        "first_name": "COLE",
        "middle_name": "A",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-10",
        "last_updated": "2025-02-17",
        "certification_date": "2025-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028865",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WI",
            "license": "16080-24",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Rudolph Thomas, PT
• Zachary Lee Thomason, OD
• Darcy L Thompson, LCSW, CSW, MSW
• Sydney Thorson, OTR/L
• Elizabeth Anne Threasher, PT, DPT, WCC
• Timo Medical Transportation LLC
• Morgan Toetz, PT, DPT
• Crystal M Toll, PT
• Total Renal Care Inc
• Tracy Bretl, D.O., S.C.

• Physical Therapist in Glendale, WI
• Providers in Glendale, WI by specialty
• Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2025; 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.