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

Elton Tidwell, DPT

Individual provider Orthopedic Physical Therapist · NPI 1174036065

Elton Tidwell, DPT is a Physical Therapist in Private Practice in Crossville, Tennessee. Qualified in 2017, 9 years ago. Practices with Agilitas USA, Inc, a 810-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Maryland and Tennessee.

Years since qualifying
9
Licensed in
MD, TN
In the registry since
2017
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

See every abbreviation used in this directory →

Practice location Address checks out

115 Cumberland Plz
Crossville, TN 38555-4292
Phone: (931) 787-1244
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 8905 Town And Country Cir Ste 9, Knoxville, TN 37923-4931 — (856) 539-9185

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X · Licence CP053876T (MD)
Physical Therapist Taxonomy 225100000X · Licence 11558 (TN)

Record details

NPI number1174036065
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedNovember 14, 2017
Last updated in NPPESFebruary 26, 2026
Certification dateFebruary 26, 2026
Mailing address1200 Corporate Dr Ste 400, Hoover, AL 35242-5424

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Agilitas Usa, Inc — 810 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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