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

Individual provider Physical Therapist · NPI 1548689714

Sean Tiedt, DPT, CSCS is a Physical Therapist in Private Practice in Waterloo, Iowa. Qualified in 2013, 13 years ago. Practices with Athletico Ltd, a 2,186-clinician group and accepts Medicare assignment. Licensed in Iowa and Texas.

Years since qualifying
13
Licensed in
IA, TX
In the registry since
2014
Specialties on file
2
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

1655 E San Marnan Dr Ste A
Waterloo, IA 50702-4380
Phone: (319) 433-4750
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 005354 (IA)
Physical Therapist Taxonomy 225100000X · Licence 1241822 (TX)

Record details

NPI number1548689714
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT , CSCS
Sole proprietorNo
NPI enumeratedApril 15, 2014
Last updated in NPPESApril 15, 2025
Certification dateApril 15, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Athletico Ltd — 2186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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