Travis Tidwell, PT
NPI 1588919856 · Physical Therapist · Fairfax Station, VA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Travis Tidwell, PT is a Physical Therapist provider in Fairfax Station, VA (NPI 1588919856).
Provider details
- NPI number
- 1588919856
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- PT
- Sex
- Male
- Sole proprietor
- No
- License
- CP051097T (VA)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2012-07-23
- Last updated
- 2026-02-25
- Certified
- 2026-02-25
Frequently asked questions
- What is Travis Tidwell's NPI number?
- Travis Tidwell's National Provider Identifier (NPI) is 1588919856, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Travis Tidwell's specialty?
- Travis Tidwell is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Travis Tidwell located?
- Travis Tidwell's practice location on file with NPPES is 5618h Ox Rd, Fairfax Station, VA 22039-1018.
- What is Travis Tidwell's phone number?
- The practice phone number listed in the NPPES registry for Travis Tidwell is (703) 426-4949.
- Does Travis Tidwell accept Medicare?
- Travis Tidwell is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Travis Tidwell's NPI active?
- Yes — Travis Tidwell's NPI (1588919856) is active in the NPPES registry as of the last update on 2026-02-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.