ANGELA MARY TIDWELL (NPI# 1063901668) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063901668 |
| Entity Type | Individual |
| Full Name | ANGELA MARY TIDWELL |
| Credential | OT |
| Practice Address |
136 Corporate Park Dr Mooresville NC 28117-6959 |
| Mailing Address |
116 Stamford Ct Mooresville NC 28117-7042 |
| Practice Telephone | 7043602796 |
| Mailing Telephone | 4077668747 |
| Enumeration Date | 2018-05-09 |
| Last Update Date | 2018-05-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225XH1200X |
Occupational Therapist Specialization: Hand |
8534 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710286240 | Angela Tidwell | Behavioral Analyst | 3601 Naugatuck Cir, Las Vegas, NV 89129-6528 | 2011-03-23 |
| 1063830206 | Angela Tidwell | Registered Nurse | 105 N Magnolia St, Sumter, SC 29150-4941 | 2014-04-04 |
| 1497762942 | Angela Avrett Tidwell | Speech-Language Pathologist | 700 19th St S, Audiology/speech Pathology(126), Birmingham, AL 35233-1927 | 2006-08-01 |
| Street Address |
136 CORPORATE PARK DR |
| City | MOORESVILLE |
| State | NC |
| Zip Code | 28117-6959 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780822288 | Iredell Physician Network LLC | Family Medicine | 136 Corporate Park Dr, Suite 3h, Mooresville, NC 28117-6959 | 2009-01-22 |
| 1649887126 | Aaron Altamirano | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2020-09-28 |
| 1578189270 | Ellis B Wall | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2020-06-19 |
| 1922641539 | Isha Patel | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2019-10-26 |
| 1679926497 | Priya Pastakia | Physical Therapist | 136 Corporate Park Dr, Mooresville, NC 28117-6959 | 2016-07-16 |
| 1366845661 | Carrie Lynne Magoulas | Physical Therapist | 136 Corporate Park Dr, Suite A, Mooresville, NC 28117-6959 | 2014-09-30 |
| 1871860767 | Saylor Physical Therapy | Exclusive Provider Organization | 136 Corporate Park Dr, Suite A, Mooresville, NC 28117-6959 | 2011-11-21 |
| 1396070942 | Iredell Physician Network LLC | Obstetrics & Gynecology | 136 Corporate Park Dr, Suite 3h, Mooresville, NC 28117-6959 | 2009-10-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891356648 | Teleoptometric Service, P.C. | Optometrist | 392 Talbert Rd, Mooresville, NC 28117 | 2019-06-24 |
| 1992268544 | Costco Wholesale Corporation | Eyewear Supplier (Equipment, not the service) | 392 Talbert Rd., Mooresville, NC 28117 | 2019-04-10 |
| 1982178042 | Langtree Endoscopy Center, LLC | Clinic/Center | 106 Alexander Bank Drive, Suite 101, Mooresville, NC 28117 | 2019-01-11 |
| 1679044416 | May and Associates Therapy Center | Psychologist | 862 Brawley School Road, Suite 202, Mooresville, NC 28117 | 2018-12-05 |
| 1700360153 | Sabrina Chabot Hutchinson | Physical Therapist | 508 Williamson Rd, Suite 200, Mooresville, NC 28117 | 2018-09-21 |
| 1992284327 | Presbyterian Imaging Centers LLC | Radiology | 106 Langtree Village Dr # 201, Mooresville, NC 28117 | 2018-08-07 |
| 1073091310 | Jenelle Donzelli Nemeth | Registered Nurse | 102 Sapphire Drive, Mooresville, NC 28117 | 2018-07-30 |
| 1912497496 | Patsharx LLC | Pharmacy | 480 River Hwy, Suite A, Mooresville, NC 28117 | 2018-05-10 |
| 1427502434 | Counseling Service At Lake Norman, Pllc | Community/Behavioral Health | 18117 W. Catawba Avenue, Cornelius, NC 28117 | 2016-08-08 |
| 1447605928 | Renewal Counseling, Pllc | Counselor | 125 Commerce Park Rd., Suite 102, Mooresville, NC 28117 | 2016-05-03 |
| Find all providers in zip 28117 | ||||
| Taxonomy Code | 225XH1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Hand |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801879408 | Lori Wilson Hiatt | Occupational Therapist | 124 Town Center Dr, Mooresville, NC 28117-9154 | 2005-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518463967 | Jessie Poteat | Occupational Therapist | 40 Medicine Circle Drive Clinic 3j, Durham, NC 27710-0001 | 2018-04-04 |
| 1497987655 | Jessi Calafiore | Occupational Therapist | 7164 Georgia Rd, Franklin, NC 28734-9142 | 2009-08-20 |
| 1376677005 | April Marie Hedrick | Occupational Therapist | 847 Wake for Bus Park, Ste. 202, Wake Forest, NC 27587-6575 | 2007-03-15 |
| 1457414823 | Tremayne T Thurman | Occupational Therapist | 5860 Yadkin Rd, Fayetteville, NC 28303-2668 | 2006-12-18 |
| 1225102031 | Carolina Occupational Therapy of Greenville Inc | Occupational Therapist | 1038 W H Smith Blvd, Unit 101, Greenville, NC 27834-5051 | 2006-11-20 |
| 1457452286 | Sandra Kay Lonon | Occupational Therapist | 112 Raintree Dr, Morganton, NC 28655-9293 | 2006-09-26 |
| 1891748778 | James G Dischiavi | Occupational Therapist | 348 Grace Corpening Dr, Marion, NC 28752 | 2006-05-19 |
| 1952366403 | Kathryn Love Ormsby | Occupational Therapist | 2527 Delaney Ave, Ste C, Wilmington, NC 28403 | 2006-04-19 |
| 1164497244 | Rebecca Irene Walls | Occupational Therapist | 4009 Wake Forest Rd, Raleigh, NC 27609-6842 | 2006-02-22 |
| 1831179332 | Lynda Sue Wagner | Occupational Therapist | 207 Balsam Rd, Jacksonville, NC 28546-8574 | 2006-01-19 |
| Find all providers with the same taxonomy | ||||
| City | MOORESVILLE |
| Zip Code | 28117 |
Please comment or provide details below to improve the information on ANGELA MARY TIDWELL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.