Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRAVIS TIDWELL, PT
ActiveTRAVIS TIDWELL, PT is a Physical Therapy Assistant healthcare provider located in FAIRFAX STATION, Virginia. NPI 1588919856 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · FAIRFAX STATION, VA
Registration Details
- NPI Number
- 1588919856
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 23, 2012 (13.879102282832 yrs)
- Last Updated
- Feb 25, 2026
- License
-
CP051097T (VA)
Practice Information
- Address
-
5618H OX RDFAIRFAX STATION, VA, 220391018Browse VA providers · Browse ZIP 22039
- Phone
- 7034264949
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in FAIRFAX STATION, VA
| Name | Credential | NPI |
|---|---|---|
| NATHALIE G KASSIS | PT | 1851400402 |
| CARISSA KRAFT II | — | 1538279021 |
| DR. ANDREW ANTHONY GUCCIONE | D.P.T, PH.D. | 1477671139 |
| MRS. MARYLOUISE CALABRESE GANSSLE | PT | 1629274907 |
| DR. CATHERINE M. JANUS | PT | 1750535274 |
| ELLEN M COURTNEY | — | 1740593722 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.