TRISTAN ZACHARY LUCY-SPEIDEL DPT
NPI 1629532197
Physical Therapist in Timonium, MD

Active since January 29, 2019
110 W TIMONIUM RD, TIMONIUM, MD 21093(443) 997-5476 Get Directions Write a Review

NPPES record last updated: December 23, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 23, 2024, Jan 29, 2019 (2 updates tracked since 2019).

About Tristan Zachary Lucy-speidel Dpt NPPES

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

TRISTAN ZACHARY LUCY-SPEIDEL DPT (NPI 1629532197) is an individual physical therapist in Timonium, Maryland, licensed in Maryland (28984) and active in the NPI registry since January 2019. He maintains a secondary practice location in Fort Valley and is a graduate of Other (2022).

NPPES Registry Identity

NPI1629532197
Entity TypeIndividualMale
Primary Taxonomy225100000X
Provider Legal NameTRISTAN ZACHARY LUCY-SPEIDELCredential: DPT
Location Address110 W TIMONIUM RDTimonium, MD 21093-7300
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000
Sole ProprietorNo
Medical School CMSOtherGraduated 2022
Enumeration DateJanuary 29, 2019
Last NPPES UpdateDecember 23, 20242 updates tracked since enumeration
NPPES CertifiedDecember 23, 2024
NPI 1629532197 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License Licensed in MD · 28984
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.
Also ListedSpecialist/Technologist · Athletic TrainerTaxonomy 2255A2300X · License T64435205 (VI)
110 W TIMONIUM RD, Timonium, MD 21093

Secondary Practice Location 1

Location 1187 Pine Tree LnFort Valley, VA 22652-3221 · Phone (540) 933-6399

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tristan Zachary Lucy-speidel Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID5092242131
PECOS Enrollment IDI20241231001417

Other Providers at the Same Location NPPES 12

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

Physician Assistant
110 W TIMONIUM RD
TIMONIUM, MD 21093
Dentist
110 W TIMONIUM RD
TIMONIUM, MD 21093
Community Health Worker
110 W TIMONIUM RD
TIMONIUM, MD 21093
Physical Therapist
110 W TIMONIUM RD
TIMONIUM, MD 21093
Physical Therapist
110 W TIMONIUM RD
TIMONIUM, MD 21093
Physical Therapist
110 W TIMONIUM RD
TIMONIUM, MD 21093
Physical Therapist (Orthopedic)
110 W TIMONIUM RD
TIMONIUM, MD 21093
Clinic/Center (Radiology)
110 W TIMONIUM RD, SUITE 1D
TIMONIUM, MD 21093

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 Tristan Lucy-speidel's NPI number?

The NPI number for Tristan Lucy-speidel is 1629532197. It was assigned to this individual provider in the NPPES registry on January 29, 2019.

Where is Tristan Lucy-speidel located?

Tristan Lucy-speidel practices at 110 W Timonium Rd, Timonium, MD 21093. The listed phone number is (443) 997-5476.

What is Tristan Lucy-speidel's specialty?

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

Is Tristan Lucy-speidel enrolled in Medicare?

Yes. Tristan Lucy-speidel is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tristan Lucy-speidel was last updated on December 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.