CHERYL TIRTOWIDJOJO
NPI 1346839719
Specialist/Technologist - Athletic Trainer in Lake Jackson, TX

Q: What is Cheryl Tirtowidjojo's NPI number?

The NPI number for Cheryl Tirtowidjojo is 1346839719. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Q: What is Cheryl Tirtowidjojo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

Active since January 11, 2021

110 ROSEWOOD ST, LAKE JACKSON, TX 77566(979) 665-5953 Get Directions Write a Review

NPPES record last updated: January 11, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Cheryl Tirtowidjojo NPPES

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

CHERYL TIRTOWIDJOJO (NPI 1346839719) is an individual athletic trainer provider in Lake Jackson, Texas and active in the NPI registry since January 2021.

NPPES Registry Identity

NPI1346839719

Entity TypeIndividualFemale

Primary Taxonomy2255A2300X

Provider Legal NameCHERYL TIRTOWIDJOJO

Location Address110 ROSEWOOD STLake Jackson, TX 77566-4937

Mailing Address110 Rosewood StLake Jackson, TX 77566-4937

Phone(979) 665-5953

Sole ProprietorYes

Enumeration DateJanuary 11, 2021

NPPES CertifiedJanuary 11, 2021

✔ NPI 1346839719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialist/Technologist · Athletic TrainerRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2255A2300X

Definition

Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor's degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration.

110 ROSEWOOD ST, Lake Jackson, TX 77566

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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 Cheryl Tirtowidjojo's NPI number?

The NPI number for Cheryl Tirtowidjojo is 1346839719. It was assigned to this individual provider in the NPPES registry on January 11, 2021.

Where is Cheryl Tirtowidjojo located?

Cheryl Tirtowidjojo practices at 110 Rosewood St, Lake Jackson, TX 77566. The listed phone number is (979) 665-5953.

What is Cheryl Tirtowidjojo's specialty?

The primary specialty registered for this NPI is Specialist/Technologist, specializing in Athletic Trainer, with taxonomy code 2255A2300X.

When was this NPI record last updated?

The NPPES record for Cheryl Tirtowidjojo was last updated on January 11, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.