Elton James Tidwell (NPI# 1174036065, PAC ID# 5193083715) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1174036065 |
| PAC ID by PECOS | 5193083715 |
| Professional Enrollment ID | I20180102002633 |
| Full Name | Elton James Tidwell |
| Organization Legal Name | PINNACLE PERFORMANCE PHYSICAL THERAPY LLC |
| Address |
362 Catalpa Ave Harrogate TN 37752-8149 |
| Phone Number | 4238699923 |
| Gender | M |
| Graduation Year | 2017 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 0547580078 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 362 Catalpa Ave, Harrogate, TN 37752-8149 | 4238699923 | PINNACLE PERFORMANCE PHYSICAL THERAPY LLC |
| 8 W Norris Rd, Suite B, Norris, TN 37828-5016 | 8654946868 | INDEPENDENT PHYSICAL THERAPY LLC |
| Organization Legal Name | PINNACLE PERFORMANCE PHYSICAL THERAPY LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather S Harvey | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Samantha A Mancino | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Jayme Mills | Occupational Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Joshua Thad Hammontree | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Allison D Fowler | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Megan O Ford | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Lauren Wilson | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Street Address |
362 CATALPA AVE |
| City | HARROGATE |
| State | TN |
| Zip | 37752-8149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather S Harvey | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Samantha A Mancino | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Jayme Mills | Occupational Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Joshua Thad Hammontree | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Allison D Fowler | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Megan O Ford | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Lauren Wilson | Physical Therapy | Pinnacle Performance Physical Therapy LLC | 362 Catalpa Ave, Harrogate, TN 37752-8149 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Bobbi Coley | Physician Assistant | 169 Westmoreland St, Harrogate, TN 37752-0720 | |
| Constance Angeline Rosenbalm | Nurse Practitioner | Harrogate Family and Health Care, Inc. | 169 Westmoreland St, Harrogate, TN 37752-0720 |
| Debbie A Poore | Nurse Practitioner | Harrogate Family and Health Care, Inc. | 169 Westmoreland St, Harrogate, TN 37752-0720 |
| Saji Eapen | Hematology/oncology | Tennessee Cancer Specialists Pllc | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 |
| Tracy W Dobbs | Hematology/oncology | Tennessee Cancer Specialists Pllc | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 |
| Tiffany J Sipe | Nurse Practitioner | Tennessee Cancer Specialists Pllc | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 |
| Richard T Lee | Hematology/oncology | Tennessee Cancer Specialists Pllc | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 |
| Sheryl Freese | Nurse Practitioner | Tennessee Cancer Specialists Pllc | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 |
| Srinivas Boppana | Radiation Oncology | Premier Radiation Oncology Services, PC | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 |
| Robert Schumaker | Hematology/oncology | Tennessee Cancer Specialists Pllc | 389 Forge Ridge Rd, Harrogate, TN 37752-7730 |
| Find all physicians in zip 37752 | |||
| City | HARROGATE |
| Zip Code | 37752 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | HARROGATE + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Elton James Tidwell.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.