DR. DESIREE TADWILLIAMS PT, DPT
NPI 1639978000
Physical Therapist - Orthopedic in Santa Monica, CA

Active since March 10, 2025
2010 WILSHIRE BLVD, SANTA MONICA, CA 90403(310) 878-2540 Get Directions Write a Review

NPPES record last updated: March 10, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Desiree Tadwilliams Pt, Dpt NPPES

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

DR. DESIREE TADWILLIAMS PT, DPT (NPI 1639978000) is an individual orthopedic provider in Santa Monica, California, licensed in California (307757) and active in the NPI registry since March 2025.

NPPES Registry Identity

NPI1639978000
Entity TypeIndividualFemale
Primary Taxonomy2251X0800X
Provider Legal NameDR. DESIREE TADWILLIAMSCredential: PT, DPT
Location Address2010 WILSHIRE BLVDSanta Monica, CA 90403-5608
Mailing Address5550 Grosvenor Blvd Apt 221Los Angeles, CA 90066-7310 · (909) 996-9342
Sole ProprietorNo
Enumeration DateMarch 10, 2025
NPPES CertifiedMarch 9, 2025
✔ NPI 1639978000 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
License✔ Licensed in CA · 307757
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
2010 WILSHIRE BLVD, Santa Monica, CA 90403

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Desiree Tadwilliams Pt, Dpt is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Billing Reassignment

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

Orthopedic
2010 WILSHIRE BLVD
Santa Monica, CA 90403
  • Reassigned Medicare billing, California enrollment
  • 29 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.

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.

Physical Therapist
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403
Physical Therapist
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403
Physical Therapist
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403
Physical Therapist
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403
Physical Therapist
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403
Physical Therapist
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403
Physical Therapist (Orthopedic)
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403
Physical Therapist
2010 WILSHIRE BLVD
SANTA MONICA, CA 90403

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 Desiree Tadwilliams's NPI number?

The NPI number for Desiree Tadwilliams is 1639978000. It was assigned to this individual provider in the NPPES registry on March 10, 2025.

Where is Desiree Tadwilliams located?

Desiree Tadwilliams practices at 2010 Wilshire Blvd, Santa Monica, CA 90403. The listed phone number is (310) 878-2540.

What is Desiree Tadwilliams's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

Is Desiree Tadwilliams enrolled in Medicare?

Yes. Desiree Tadwilliams is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Desiree Tadwilliams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Desiree Tadwilliams reassigns Medicare benefits to Sportsfit Physical Therapy Corporation (Santa Monica, CA). 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 Desiree Tadwilliams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Desiree Tadwilliams was last updated on March 10, 2025. 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.