Dwight Tietjen, P.T.
NPI 1902001076 · Physical Therapist · Shreveport, LA
Dwight Tietjen, P.T. is a Physical Therapist provider in Shreveport, LA (NPI 1902001076).
Provider details
- NPI number
- 1902001076
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Male
- Sole proprietor
- Yes
- License
- PT118 (LA)
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
19 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
- 2007-06-19
- Last updated
- 2007-07-08
Frequently asked questions
- What is Dwight Tietjen's NPI number?
- Dwight Tietjen's National Provider Identifier (NPI) is 1902001076, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Dwight Tietjen's specialty?
- Dwight Tietjen is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Dwight Tietjen located?
- Dwight Tietjen's practice location on file with NPPES is 4801 Crescent Dr, Shreveport, LA 71106-1807.
- What is Dwight Tietjen's phone number?
- The practice phone number listed in the NPPES registry for Dwight Tietjen is (318) 464-0553.
- Is Dwight Tietjen's NPI active?
- Yes — Dwight Tietjen's NPI (1902001076) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.