TRAVIS TIDWELL PT
NPI 1588919856
Physical Therapist in Fairfax Station, VA

Active since July 23, 2012Accepts Medicare Assignment
5618H OX RD, FAIRFAX STATION, VA 22039(703) 426-4949 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Travis Tidwell Pt NPPES

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

TRAVIS TIDWELL PT (NPI 1588919856) is an individual physical therapist in Fairfax Station, Virginia, licensed in Virginia (CP051097T) and active in the NPI registry since July 2012. He is a graduate of Other (2012).

NPPES Registry Identity

NPI1588919856
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTRAVIS TIDWELLCredential: PT
Location Address5618H OX RDFairfax Station, VA 22039-1018
Mailing Address5618h Ox RdFairfax Station, VA 22039-1018 · (703) 426-4949
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateJuly 23, 2012
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
NPI 1588919856 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
License Licensed in VA · CP051097T
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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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.

5618H OX RD, Fairfax Station, VA 22039

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Travis Tidwell Pt 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 ID4082864491
PECOS Enrollment IDI20260123000322

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 22039 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
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 2

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

Physical Therapy Assistant
5618H OX RD
FAIRFAX STATION, VA 22039
Physical Therapist
5618H OX RD
FAIRFAX STATION, VA 22039

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 Travis Tidwell's NPI number?

The NPI number for Travis Tidwell is 1588919856. It was assigned to this individual provider in the NPPES registry on July 23, 2012.

Where is Travis Tidwell located?

Travis Tidwell practices at 5618H Ox Rd, Fairfax Station, VA 22039. The listed phone number is (703) 426-4949.

What is Travis Tidwell's specialty?

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

Is Travis Tidwell enrolled in Medicare?

Yes. Travis Tidwell 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.

When was this NPI record last updated?

The NPPES record for Travis Tidwell was last updated on February 25, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.