Tiesha Shakema' Fenwick

Physical therapist in Fort Worth, Texas · NPI 1215820188

Tiesha Fenwick is one of 217 physical therapists practicing in Fort Worth, Texas. Tiesha Fenwick practices with Ideal Physical Therapy Of Texas LLC.

Registry record (NPPES)

NPI
1215820188
Type
Type 1 · Individual
Primary taxonomy
Physical Therapist · 225100000X
Address on file
4617 W Bailey Boswell Rd
Fort Worth, TX 76179-4327
(682) 350-4206
Enumerated
May 30, 2025
Record last updated
Jun 9, 2025
License states listed
TX, VA

Medicare (CMS)

Enrollment
Medicare-enrolled in TX, WA
Physical Therapist in Private Practice
Revalidation due
No date set by CMS

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  • Procedure volumes by CPT code
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  • Full enrollment history
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Practice locations

More physical therapists in Fort Worth

Updated August 2026. Practice locations and specialty come from the CMS Doctors and Clinicians file, the registry record from NPPES, and enrollment from CMS Medicare enrollment files. NPI records are corrected at the source, through NPPES.