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

Travis Tidwell, PT

Individual provider Physical Therapist · NPI 1588919856

Travis Tidwell, PT is a Physical Therapist in Private Practice in Fairfax Station, Virginia. Qualified in 2012, 14 years ago. Practices with Progress Rehabilitation Network LLC, a 31-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
14
Licensed in
VA
In the registry since
2012
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

5618H Ox Rd
Fairfax Station, VA 22039-1018
Phone: (703) 426-4949
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence CP051097T (VA)

Record details

NPI number1588919856
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJuly 23, 2012
Last updated in NPPESFebruary 25, 2026
Certification dateFebruary 25, 2026
Mailing address5618h Ox Rd, Fairfax Station, VA 22039-1018

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2012 (14 years in practice)
Group practice Progress Rehabilitation Network Llc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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