Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

MRS. LISA M. TIDMAN PTA
NPI 1467413930
Physical Medicine & Rehabilitation - Sports Medicine in Williston, VT

Q: What is Lisa Tidman's NPI number?

The NPI number for Lisa Tidman is 1467413930. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Q: What is Lisa Tidman's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Q: When was this NPI record last updated?

The NPPES record for Lisa Tidman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.

Active since March 31, 2006

30 HAWTHORNE ST, WILLISTON, VT 05495(802) 876-6100 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Mrs. Lisa M. Tidman Pta NPPES

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

MRS. LISA M. TIDMAN PTA (NPI 1467413930) is an individual sports medicine provider in Williston, Vermont, licensed in Vermont (041-0000385) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1467413930

Entity TypeIndividualFemale

Primary Taxonomy2081S0010X

Provider Legal NameMRS. LISA M. TIDMANCredential: PTA

Location Address30 HAWTHORNE STWilliston, VT 05495-8212

Mailing Address14 Forest RdEssex, VT 05452-3818 · (802) 878-7536

Phone(802) 876-6100

Sole ProprietorNo

Enumeration DateMarch 31, 2006

Last NPPES UpdateJuly 13, 2026

✔ NPI 1467413930 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians

Taxonomy Code2081S0010X

License✔ Licensed in VT · 041-0000385

Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

30 HAWTHORNE ST, Williston, VT 05495

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Other Providers at the Same Location NPPES 17

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

PAULA LAROSE PT

Physical Therapist

30 HAWTHORNE ST
WILLISTON, VT 05495

Chittenden County (802) 876-6000

LUANN BELLIS PTA

Physical Therapy Assistant

30 HAWTHORNE ST, MAPLE TREE PLACE
WILLISTON, VT 05495

Chittenden County (802) 876-6000

DR. SARA ST. GELAIS DPT, ATC

Physical Therapist (Orthopedic)

30 HAWTHORNE ST
WILLISTON, VT 05495

Chittenden County (802) 876-6000

JACQUELINE JANCAITIS DPT

Physical Therapist

30 HAWTHORNE ST, SUITE 20
WILLISTON, VT 05495

Chittenden County (802) 876-6000

MRS. HEATHER GORMAN PT, ATC

Physical Therapist (Orthopedic)

30 HAWTHORNE ST, MAPLE TREE PLACE
WILLISTON, VT 05495

Chittenden County (802) 876-6000

MRS. REBECCA OUELLETTE-MORTON

Physical Therapist

30 HAWTHORNE ST, MAPLE TREE PLACE
WILLISTON, VT 05495

Chittenden County (802) 876-6000

ALI HAMEDANI DPT

Physical Therapist

30 HAWTHORNE ST, SUITE 20
WILLISTON, VT 05495

Chittenden County (802) 876-6000

CAITLIN THORNTON ATC

Specialist/Technologist (Athletic Trainer)

30 HAWTHORNE ST
WILLISTON, VT 05495

Chittenden County (802) 876-6000

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 Lisa Tidman's NPI number?

The NPI number for Lisa Tidman is 1467413930. It was assigned to this individual provider in the NPPES registry on March 31, 2006.

Where is Lisa Tidman located?

Lisa Tidman practices at 30 Hawthorne St, Williston, VT 05495. The listed phone number is (802) 876-6100.

What is Lisa Tidman's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

When was this NPI record last updated?

The NPPES record for Lisa Tidman was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 36 days 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.