David Joshua Tidwell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1230520 Issued in TX

Practice address

25327 Interstate 45
Spring, TX 77380-3521

Phone

(936) 207-4154

Fax

(936) 207-4154

NPI assigned

Nov 2, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bringtherapy LLCGroup PAC ID 9739501131, 2 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.

• Bringtherapy LLC

  • Physical Therapist
  • The Woodlands, TX
  • NPI 1710501465
  Medicare reassignment Care Compare group NPD Authorized official
• Direct PT of Huntsville TX

  • Physical Therapist
  • Huntsville, TX
  • NPI 1922740075
  Medicare reassignment NPD
• Momentum Rehab, Inc.

  • Physical Therapist
  • Nashville, TN
  • NPI 1689943532
  NPD (past)

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

{
    "created_epoch": "1130889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680220800000",
    "number": "1922099670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25327 INTERSTATE 45",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803521",
            "telephone_number": "936-207-4154",
            "fax_number": "281-825-3660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25327 INTERSTATE 45",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773803521",
            "telephone_number": "936-207-4154",
            "fax_number": "936-207-4154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIDWELL",
        "first_name": "DAVID",
        "middle_name": "JOSHUA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-02",
        "last_updated": "2023-03-31",
        "certification_date": "2023-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "PT7173",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1230520",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3659498",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Thrls Speech Therapy
• Layne G Thurston
• Crystal Tillery, COTA, CDP
• Pizazz Tillman
• Tina Nicole Tillmon, QMHP-CS
• Time Wise Speech Therapy PLLC
• Timothy D Runnels

• Physical Therapist in Spring, TX
• Providers in Spring, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.