DAVID TIDERMAN (NPI# 1417314204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417314204 |
| Entity Type | Individual |
| Full Name | DAVID TIDERMAN |
| Practice Address |
4850 W Oakland Park Blvd Lauderdale Lakes FL 33313-7260 |
| Mailing Address |
680 Tennis Club Dr #308 Fort Lauderdale FL 33311-4059 |
| Practice Telephone | 9547353535 |
| Enumeration Date | 2016-01-25 |
| Last Update Date | 2016-01-25 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | 26295 | FL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
4850 W OAKLAND PARK BLVD |
| City | LAUDERDALE LAKES |
| State | FL |
| Zip Code | 33313-7260 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356344493 | Humaira V Khan | Internal Medicine | 4850 W Oakland Park Blvd, Ste 132, Lauderdale Lakes, FL 33313-7268 | 2005-05-23 |
| 1891329868 | Melissa Valdes | Nurse Practitioner | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2020-02-27 |
| 1083155931 | Sandra Arlenne Llosa Peralta | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2017-03-12 |
| 1740730688 | Richard B Polakoff Md Pa | Exclusive Provider Organization | 4850 W Oakland Park Blvd, Ste 143, Lauderdale Lakes, FL 33313-7260 | 2016-10-04 |
| 1043765837 | Ereny Hanna | Physical Therapist | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2016-08-22 |
| 1538522651 | Angela Hayes | Physical Therapy Assistant | 4850 W Oakland Park Blvd, 201, Lauderdale Lakes, FL 33313-7260 | 2016-04-05 |
| 1992162820 | Nader Henry | Pharmacist | 4850 W Oakland Park Blvd, Lauderdale Lakes, FL 33313-7260 | 2016-01-22 |
| 1912397464 | Amber Mead | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2015-02-04 |
| 1386059517 | Blue Water Pain Solutions, Pa | Anesthesiology | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2014-06-26 |
| 1457776809 | Florida United Radiology, Lc | Radiology | 4850 W Oakland Park Blvd, Suite 205, Lauderdale Lakes, FL 33313-7260 | 2014-02-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306469234 | Deidra D Mcclover | Doula | 4430 Nw 13th Court, Lauderhill, FL 33313 | 2020-05-27 |
| 1043831738 | Mh Cares, LLC | Social Worker | 1165 Nw 45terr., Lauderhill, FL 33313 | 2020-05-04 |
| 1629537139 | International Medical Supply, Inc | Durable Medical Equipment & Medical Supplies | 6921 Sunset Strip, Sunrise, FL 33313 | 2019-03-14 |
| 1598232225 | South Shore Opticians Lauderhill Inc. | Technician/Technologist | 1375 I North State Road 7, Lauderhill, FL 33313 | 2018-10-31 |
| 1437630399 | Guy Desanctis | Physical Therapy Assistant | 6530 W. Sunrise Blvd, Plantation, FL 33313 | 2018-08-28 |
| 1710467360 | Radiant Private Care, LLC | In Home Supportive Care | 1480 Nw 52nd Ave, Lauderhill, FL 33313 | 2018-08-14 |
| 1851877435 | Jb and Jb Healthcare LLC | Obstetrics & Gynecology | 3001 Nw 49th Ave Ste 300, Lauderdale Lakes, FL 33313 | 2018-07-17 |
| 1447746441 | Walfrido Roque Pinero | Nurse Practitioner | 6738 W Sunrise Blvd Ste 102, Plantation, FL 33313 | 2018-07-03 |
| 1215421813 | Erika Jorgensen | Counselor | 6299 W Sunrise Blvd # 108, Sunrise, FL 33313 | 2018-06-18 |
| 1750884003 | Mgb Behavioral Health Services | Case Management | 4780 N W 24 Court, C215, Lauderhill, FL 33313 | 2018-03-13 |
| Find all providers in zip 33313 | ||||
| Taxonomy Code | 225200000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapy Assistant |
| (1)Physical therapist assistants are skilled health care providers who are graduates of a physical therapist assistant associate degree program accredited by an agency recognized by the Secretary of the U.S. Department of Education or Council on Postsecondary Accreditation, who assists the physical therapist in providing physical therapy. The supervising physical therapist is directly responsible for the actions of the physical therapist assistant. The PTA performs physical therapy procedures and related tasks that have been selected and delegated by the supervising physical therapist. Duties of the PTA include assisting the physical therapist in implementing treatment programs, training patients in exercised and activities of daily living, conducting treatments, and reporting to the physical therapist on the patient’s responses. In addition to direct patient care, the PTA may also perform such functions as patient transport, and clinic or equipment preparation and maintenance. Currently more than half of all states require PTAs to be licensed, registered or certified. (2) An individual who works under the supervision of a physical therapist to assist him or her in providing physical therapy services. A physical therapy assistant may, for instance, help patients follow an appropriate exercise program that will increase their strength, endurance, coordination, and range of motion and train patients to perform activities of daily life. |
| Notes: Source: (1) American Physical Therapy Association, P.O. Box 37257, Washington, D.C. 20013. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770855421 | Stacy-ann Melissa Emmanuel | Physical Therapy Assistant | 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL 33313-7268 | 2012-01-26 |
| 1083155931 | Sandra Arlenne Llosa Peralta | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2017-03-12 |
| 1275073934 | Aylen Crawford | Physical Therapy Assistant | 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL 33313-7268 | 2017-02-28 |
| 1538522651 | Angela Hayes | Physical Therapy Assistant | 4850 W Oakland Park Blvd, 201, Lauderdale Lakes, FL 33313-7260 | 2016-04-05 |
| 1912397464 | Amber Mead | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2015-02-04 |
| 1265874531 | Reji P Perumprayil | Physical Therapy Assistant | 4850 W Oakland Park Blvd Ste 201, Lauderdale Lakes, FL 33313-7268 | 2013-07-26 |
| 1639441470 | Dorota Paspalis | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2012-02-08 |
| 1942572847 | Leslie Rodriguez | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2012-02-08 |
| 1619249232 | Inez Miche | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 201, Lauderdale Lakes, FL 33313-7260 | 2012-01-27 |
| 1811269434 | Lauren Renee Sobelman | Physical Therapy Assistant | 4850 W Oakland Park Blvd, Suite 102, Lauderdale Lakes, FL 33313-7260 | 2012-01-27 |
| Find all providers in LAUDERDALE LAKES | ||||
| City | LAUDERDALE LAKES |
| Zip Code | 33313 |
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| 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.