HEIDI OLSEN TIDWELL (PT) – Orthopedic Physical Therapist, NPI 1669934378

HEIDI OLSEN TIDWELL (PT) is a healthcare provider. based in Bountiful, Utah. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 269056-2401 (UT). The NPI Number for HEIDI OLSEN TIDWELL (PT) is 1669934378

Main info

Female
33 Years Of Experience
Accepts Medicare Assignment
Name
HEIDI OLSEN TIDWELL (PT)
NPI
1669934378
Phone
(801) 295-8999
Address
1551 RENAISSANCE TOWNE DR STE 420
Enumeration Date
2 April 2019
Last Update Date
2 April 2019

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8012958999
Graduation Year
1993 (33 years ago)
PAC ID
5092058586
Group Practice PAC ID
2668462045
Professional Enrollment ID
I20190524001816
Address ID
UT840107677BO1551XDRXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,143 PHYSICAL THERAPIST IN PRIVATE PRACTICE in UT

Provider Addresses for HEIDI OLSEN TIDWELL (PT)

  • 1551 RENAISSANCE TOWNE DR STE 420

    BOUNTIFUL, UT 840107677

    Phone: (801) 295-8999

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2019-05-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20190524001816IPhysical Therapist In Private PracticeUTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes19125$0
97530Therapy procedure using functional activities11326$0
97035Application of ultrasound, each 15 minutes8716$0
97022Application of whirlpool therapy6617$0
97760Training in the use of orthopedic device for arm, leg and/or trunk, each 15 minutes3818$0
View full utilization report →

Insurance plans in this area (ZIP 84010)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2668462045View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeAZ
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeUT
Physical Therapist In Private PracticeWA
-UT

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Frequently asked questions

What is HEIDI OLSEN TIDWELL (PT)'s NPI number?
HEIDI OLSEN TIDWELL (PT)'s NPI is 1669934378 — the number used across U.S. healthcare to identify this provider.
Active or inactive — what applies to HEIDI OLSEN TIDWELL (PT)?
You should see HEIDI OLSEN TIDWELL (PT) as active in CMS-hosted NPPES data.
What kind of doctor is HEIDI OLSEN TIDWELL (PT)?
HEIDI OLSEN TIDWELL (PT) is associated with Orthopedic Physical Therapist in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for HEIDI OLSEN TIDWELL (PT)?
Travel planning: use Bountiful, Utah as the reference point for HEIDI OLSEN TIDWELL (PT), then confirm.
Does HEIDI OLSEN TIDWELL (PT) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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