SEAN TIEDT DPT, CSCS
NPI 1548689714
Physical Therapist in Waterloo, IA

Active since April 15, 2014Accepts Medicare Assignment
1655 E SAN MARNAN DR STE A, WATERLOO, IA 50702(319) 433-4750 Get Directions Write a Review

NPPES record last updated: April 15, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Sean Tiedt Dpt, Cscs NPPES

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

SEAN TIEDT DPT, CSCS (NPI 1548689714) is an individual physical therapist in Waterloo, Iowa, licensed in Iowa (005354) and active in the NPI registry since April 2014. He is a graduate of Other (2013).

NPPES Registry Identity

NPI1548689714
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameSEAN TIEDTCredential: DPT, CSCS
Location Address1655 E SAN MARNAN DR STE AWaterloo, IA 50702-4380
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (630) 575-1980
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateApril 15, 2014
Last NPPES UpdateApril 15, 2025
NPPES CertifiedApril 15, 2025
✔ NPI 1548689714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Licenses✔ Licensed in IA · 005354✔ Licensed in TX · 1241822
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
1655 E SAN MARNAN DR STE A, Waterloo, IA 50702

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Sean Tiedt Dpt, Cscs is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1850817792
PECOS Enrollment IDI20250424000324

Medicare Billing Reassignment

Medicare enrollment records show Sean Tiedt reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapist
2122 YORK RD STE 300
Oak Brook, IL 60523
  • Reassigned Medicare billing, Iowa enrollment
  • 179 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 50702 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.84 typical visit price
range $52.96 – $161.40
Typical copayment $20.46 (range $13.24 – $40.35)
Most-billed visit code 99203
Established Patient
$66.36 typical visit price
range $16.91 – $131.98
Typical copayment $16.59 (range $4.22 – $32.99)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 3

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

Specialist/Technologist (Athletic Trainer)
1655 E SAN MARNAN DR STE A
WATERLOO, IA 50702
Specialist/Technologist (Athletic Trainer)
1655 E SAN MARNAN DR STE A
WATERLOO, IA 50702
Specialist/Technologist (Athletic Trainer)
1655 E SAN MARNAN DR STE A
WATERLOO, IA 50702

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 Sean Tiedt's NPI number?

The NPI number for Sean Tiedt is 1548689714. It was assigned to this individual provider in the NPPES registry on April 15, 2014.

Where is Sean Tiedt located?

Sean Tiedt practices at 1655 E San Marnan Dr Ste A, Waterloo, IA 50702. The listed phone number is (319) 433-4750.

What is Sean Tiedt's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Sean Tiedt enrolled in Medicare?

Yes. Sean Tiedt is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Sean Tiedt's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sean Tiedt reassigns Medicare benefits to Athletico Ltd (Oak Brook, IL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sean Tiedt's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sean Tiedt accept?

Health plans from Ambetter Health, Ambetter from Sunflower Health Plan, Oscar Insurance Company, UnitedHealthcare and Wellmark Health Plan of Iowa, Inc. list Sean Tiedt as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sean Tiedt was last updated on April 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.