Sean Tiedt, DPT, CSCS
NPI 1548689714ActiveIndividual· Physical Therapist· Waterloo, IA
Physical Therapist (DPT, CSCS) with Athletico Ltd, practicing in Waterloo, Iowa. Enrolled in Medicare as practitioner - physical therapist in private practice.
Overview
| NPI | 1548689714 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | DPT, CSCS |
| Sole proprietor | No |
| NPI issued | Apr 15, 2014 |
| Last updated in NPPES | Apr 15, 2025 |
| Certified by provider | Apr 15, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 005354 | IA |
| Physical Therapist | 225100000X | 1241822 | TX |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (IA) |
|---|
Education and affiliations
| Graduation year | 2013 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Athletico LtdOttawa, IL · 2,200 clinicians
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