ANGELA MARY TIDWELL OT
NPI 1063901668
Occupational Therapist - Hand in Mooresville, NC

Active since May 09, 2018
136 CORPORATE PARK DR, MOORESVILLE, NC 28117(704) 360-2796 Get Directions Write a Review

NPPES record last updated: May 9, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Angela Mary Tidwell Ot NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANGELA MARY TIDWELL OT (NPI 1063901668) is an individual hand provider in Mooresville, North Carolina, licensed in North Carolina (8534) and active in the NPI registry since May 2018.

NPPES Registry Identity

NPI1063901668
Entity TypeIndividualFemale
Primary Taxonomy225XH1200X
Provider Legal NameANGELA MARY TIDWELLCredential: OT
Location Address136 CORPORATE PARK DRMooresville, NC 28117-6959
Mailing Address116 Stamford CtMooresville, NC 28117-7042 · (407) 766-8747
Sole ProprietorNo
Enumeration DateMay 9, 2018
NPI 1063901668 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapist · HandRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225XH1200X
License Licensed in NC · 8534
136 CORPORATE PARK DR, Mooresville, NC 28117

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
136 CORPORATE PARK DR
MOORESVILLE, NC 28117
Physical Therapist
136 CORPORATE PARK DR, SUITE A
MOORESVILLE, NC 28117
Obstetrics & Gynecology
136 CORPORATE PARK DR, SUITE 3H
MOORESVILLE, NC 28117
Physical Therapist
136 CORPORATE PARK DR
MOORESVILLE, NC 28117
Family Medicine
136 CORPORATE PARK DR, SUITE 3H
MOORESVILLE, NC 28117
Specialist
136 CORPORATE PARK DR, SUITE A
MOORESVILLE, NC 28117
Physical Therapist
136 CORPORATE PARK DR
MOORESVILLE, NC 28117

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Angela Tidwell's NPI number?

The NPI number for Angela Tidwell is 1063901668. It was assigned to this individual provider in the NPPES registry on May 9, 2018.

Where is Angela Tidwell located?

Angela Tidwell practices at 136 Corporate Park Dr, Mooresville, NC 28117. The listed phone number is (704) 360-2796.

What is Angela Tidwell's specialty?

The primary specialty registered for this NPI is Occupational Therapist, specializing in Hand, with taxonomy code 225XH1200X.

When was this NPI record last updated?

The NPPES record for Angela Tidwell was last updated on May 9, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.