Amber Tiedeman, PTA, CSCS

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

0013593 Issued in CO

Practice address

600 S 21St St Unit 130
Colorado Springs, CO 80904-3763

Phone

(719) 634-1110

NPI assigned

Jan 18, 2016

Sex

Female

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

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": "1453075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536796800000",
    "number": "1730546003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST UNIT 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043763",
            "telephone_number": "719-634-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 S 21ST ST UNIT 130",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809043763",
            "telephone_number": "719-634-1110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "940 W Washington Pl",
            "address_purpose": "LOCATION",
            "city": "Lincoln",
            "state": "NE",
            "postal_code": "685222624",
            "country_code": "US",
            "telephone_number": "402-460-7221",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TIEDEMAN",
        "first_name": "AMBER",
        "credential": "PTA, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-18",
        "last_updated": "2018-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NE",
            "license": "1438",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CO",
            "license": "0013593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly R Tibbs, MD
• Catherine Tickle, HAD
• Tidswell Eyecare, Inc.
• Jeffrey Reed Tidswell, O.D.
• Joshua Andrew Tidwell, LPC, NCC
• Prince M Tieku, PHARMD
• Gregory Carl Tietz
• Tiffany'S Specialized Care
• Shannon Tiffenbach, LPCC
• Gretchen L Tighe, RDH

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2018; 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.