Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tristan Zachary Lucy-Speidel, DPT

Individual provider Physical Therapist · NPI 1629532197

Tristan Zachary Lucy-Speidel, DPT is a Physical Therapist in Timonium, Maryland. Works from 2 locations. Licensed in Maryland and U.S. Virgin Islands.

Licensed in
MD, VI
In the registry since
2019
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

110 W Timonium Rd
Timonium, MD 21093-7300
Phone: (443) 997-5476
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 187 Pine Tree Ln, Fort Valley, VA 22652-3221 — (540) 933-6399

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 28984 (MD)
Athletic Trainer Taxonomy 2255A2300X · Licence T64435205 (VI)

Record details

NPI number1629532197
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 29, 2019
Last updated in NPPESDecember 23, 2024
Certification dateDecember 23, 2024

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