DR. JESSICA J TIDSWELL (NPI# 1952593568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952593568 |
| Entity Type | Individual |
| Full Name | DR. JESSICA J TIDSWELL |
| Credential | PT, DPT, SCS, ATC |
| Practice Address |
2760 Rasmussen Rd Suite D2-d3 Park City UT 84098-5684 |
| Mailing Address |
515 Aspen Dr Park City UT 84098-5134 |
| Practice Telephone | 8017185378 |
| Practice Fax Number | 8017185378 |
| Mailing Telephone | 8017185378 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2014-05-01 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 5080663-2401 | UT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
2760 RASMUSSEN RD SUITE D2-D3 |
| City | PARK CITY |
| State | UT |
| Zip Code | 84098-5684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861402026 | Sari Ann Soutor Farhart | Psychologist | 2760 Rasmussen Rd, Ste 205, Park City, UT 84098-5684 | 2006-08-09 |
| 1972915874 | Summit Sports Performance and Rehab Center, Pllc | Clinic/Center | 2760 Rasmussen Rd, Suites D2-d3, Park City, UT 84098-5684 | 2014-05-27 |
| 1073933966 | Peak Performance Physical Therapy, PC | Clinic/Center | 2760 Rasmussen Rd, D2-d3, Park City, UT 84098-5684 | 2014-04-18 |
| 1063761914 | Maesha Miller | Occupational Therapist | 2760 Rasmussen Rd, Summit Ctr, Bldg D, Park City, UT 84098-5684 | 2012-09-06 |
| 1083948343 | Rebecca Ellen Price | Marriage & Family Therapist | 2760 Rasmussen Rd, 200, Park City, UT 84098-5684 | 2009-09-18 |
| 1790925394 | Tyrene L Christopulos | Occupational Therapist | 2760 Rasmussen Rd, Park City, UT 84098-5684 | 2009-02-23 |
| 1689858631 | Kwinten Kemp | Counselor | 2760 Rasmussen Rd, Building D, Suite 205, Park City, UT 84098-5684 | 2007-12-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972069532 | Natasha Nicolle Peterson | Nurse Practitioner | Stat Md, 1784 Uinta Way E, Park City, UT 84098 | 2019-02-19 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1497126130 | Megan Franz | Counselor | 3100 Pinebrook Rd, Park City, UT 84098 | 2015-10-07 |
| 1568752541 | Kortney James Stirland | Pharmacist | 750 Round Valley Drive #203, Park City, UT 84098 | 2011-04-12 |
| 1265763379 | Amy S Koch | Physical Therapy Assistant | 1640 West Redstone Drive, Suite 200, Park City, UT 84098 | 2010-01-29 |
| 1134374648 | Donna B Fischer | General Practice | 6531 N Landmark Dr., Park City, UT 84098 | 2008-11-25 |
| 1962659458 | Patricia A Lindsay Phd Inc | Psychologist | 1743 W Redstone Ctr Dr, #115, Park City, UT 84098 | 2008-08-26 |
| 1437314291 | Jeffrey S Holverson | Internal Medicine | 6240 N Snowview Dr, Park City, UT 84098 | 2008-07-22 |
| 1578728515 | Blair Archbold Smith | Physical Therapist | 6880 Canyon Drive Court, Park City, UT 84098 | 2008-07-18 |
| 1821255274 | Beth Anita Rylands | Physical Therapy Assistant | 1640 W. Redstone Center Dr., Suite 200, Park City, UT 84098 | 2008-05-21 |
| Find all providers in zip 84098 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) 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 |
|---|---|---|---|---|
| 1700416245 | Matthew James Krammen | Physical Therapist | 597 Parkway Dr Ste C, Park City, UT 84098-5733 | 2020-01-23 |
| 1578087904 | Chelsea Frances Brown | Physical Therapist | 597 Parkway Dr Ste C&d, Park City, UT 84098-5731 | 2017-07-27 |
| 1750732079 | Rebecca Hansen | Physical Therapist | 1640 W Redstone Center Dr, Suite 200, Park City, UT 84098 | 2016-06-28 |
| 1184081028 | Alexandra Gribbin | Physical Therapist | 6040 Mountain Ranch Dr, Park City, UT 84098-6178 | 2016-01-22 |
| 1699178889 | Caralyn Baxter | Physical Therapist | 4554 Forestdale Dr Unit C16, Park City, UT 84098-1392 | 2014-10-01 |
| 1720353279 | Leslie Masters | Physical Therapist | 220 Starview Dr, Park City, UT 84098-6109 | 2012-03-16 |
| 1336449602 | Adam Procino | Physical Therapist | 1205 Foxcrest Dr, Park City, UT 84098-6330 | 2010-11-02 |
| 1770897803 | Personal Pt | Physical Therapist | 2174 Sunrise Cir, Park City, UT 84060-7409 | 2010-07-30 |
| 1619119732 | Livewell Physical Therapy | Physical Therapist | 5976 Fairview Dr, Park City, UT 84098-6160 | 2009-04-03 |
| 1811143456 | Marjorie Galvin Booth | Physical Therapist | 6531 Landmark Dr, Ste E, Park City, UT 84098-5951 | 2008-08-14 |
| Find all providers in PARK CITY | ||||
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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.