Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Cole A Tidemann, PT, DPT

Individual provider Physical Therapist · NPI 1720670706

Cole A Tidemann, PT, DPT is a Physical Therapist in Private Practice in Glendale, Wisconsin. Qualified in 2020, 6 years ago. Practices with Team Rehabilitation Services LLC, a 569-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Pennsylvania and Wisconsin.

Years since qualifying
6
Licensed in
PA, WI
In the registry since
2021
Specialties on file
2
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

5333 N Port Washington Rd Ste B
Glendale, WI 53217-4914
Phone: (414) 716-1770
Fax: (414) 716-1772
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1905 N Calhoun Rd Ste 105, Brookfield, WI 53005-5008 — (262) 333-0040

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 16080-24 (WI)
Physical Therapist Taxonomy 225100000X · Licence PT028865 (PA)

Record details

NPI number1720670706
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedFebruary 10, 2021
Last updated in NPPESFebruary 17, 2025
Certification dateFebruary 17, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Team Rehabilitation Services Llc — 569 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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