Travis Tidwell, PT
Physical Therapist · Fairfax Station, VA
Travis Tidwell, PT is a physical therapist with a practice address in Fairfax Station, Virginia, and NPI 1588919856, issued on Jul 23, 2012. Check the license (Virginia CP051097T, as entered in NPPES) with the Virginia board that licenses this profession; the Medicare figures below come from public CMS files.
- Name
- Travis Tidwell
- Credential
- PT
- Primary taxonomy
- Physical Therapist 225100000X
- License number
- CP051097T VA
Self-reported in NPPES; status is on the state search - Practice location
- 5618H OX RD, Fairfax Station, VA 22039
- Phone
- (703) 426-4949
- Enumerated
- Jul 23, 2012
- Record last updated
- Feb 25, 2026
- Medicare enrollment
- Enrolled (PECOS I20260123000322); accepts Medicare assignment
- Entity
- Type 1 · individual
8 nearest physical therapist records → All 6,893 in Virginia → Look up another NPI →
Also registered at 5618H OX RD
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Jessica Cantu-Lane, PTAPhysical Therapy Assistant1043510639
- Emily Lehecka, PTPhysical Therapist1417599630
Verify Travis Tidwell in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersWhich Virginia board licenses this profession
Search for license CP051097TCheck the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
Bills Medicare through one group practice
- Progress Rehabilitation Network LLCFairfax Station, VA
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Travis Tidwell among 6,893 physical therapist records in Virginia
Travis Tidwell, PT is one of 6,893 physical therapist records with a practice address in Virginia. 34% of them appear in a Medicare file (Part D prescribing, MIPS, Open Payments or Medicare group billing); this one does. Its NPI, issued in 2012, is newer than 37% of them.
- NPI issued2012 · 37% of these records are older, 60% newer
- In a Medicare fileYes · 34% of these records are
- In the CMS Doctors and Clinicians fileYes · 36% of these records are
- Graduated2012 · median 2016 among the 2,465 with a school on file
- Record last updated2026 · 56% of these records were not updated in five years or more
Source: CMS NPPES, file of Aug 9, 2026, every record with primary taxonomy 225100000X and a Virginia practice address; Medicare files: CMS Part D Prescribers 2024, MIPS 2023, Open Payments 2024, Doctors and Clinicians (data.cms.gov).
8 physical therapist records list a practice address in Fairfax Station
They are 8 of the 70 NPPES records with a practice address in Fairfax Station, and 6,893 physical therapist records in Virginia.
All 6,893 in Virginia → Every provider in Fairfax Station → Physical Therapist nationwide →
The 8 physical therapist records with the nearest ZIP codes
- Ellen CourtneyFairfax Station, VA 220391740593722
- Marylouise Ganssle, PTFairfax Station, VA 220391629274907
- Andrew Guccione, D.P.T, PH.D.Fairfax Station, VA 220391477671139
- Catherine Janus, PTFairfax Station, VA 220391750535274
- Nathalie Kassis, PTFairfax Station, VA 220391851400402
- Carissa KraftFairfax Station, VA 220391538279021
- Emily Lehecka, PTFairfax Station, VA 220391417599630
- Gregory Ayscue, DPTFalls Church, VA 220411548555477
Common questions
What is Travis Tidwell, PT's NPI number?
Travis Tidwell, PT's National Provider Identifier (NPI) is 1588919856, issued on Jul 23, 2012. An NPI identifies a provider in billing; it is not a license.
Where is Travis Tidwell, PT located?
The NPPES record lists a practice address at 5618H OX RD, Fairfax Station, VA, 22039. Phone: (703) 426-4949. Providers update this record themselves, so call before visiting.
How can I verify Travis Tidwell, PT's license?
NPPES lists Virginia license number CP051097T, as entered by the provider. Search the Virginia board that licenses this profession; the NPPES record confirms identity only.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.