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

Mr. Mark Andrew Tiedeman, PHYSICALTHERAPIST

Individual provider Physical Therapist · NPI 1730478066

Mr. Mark Andrew Tiedeman, PHYSICALTHERAPIST is registered under Physical Therapist in Private Practice in Agoura Hills, California. Qualified in 2001, 25 years ago. Practices with Zeolla Physical Therapy Inc, a 5-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
25
Licensed in
CA
In the registry since
2011
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Practice location Address checks out

5927 Kanan Rd
Agoura Hills, CA 91301-1688 Not confirmed with CMS for 15 years — call before visiting
Phone: (818) 889-0158
Fax: (818) 889-4708
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT27038 (CA)

Record details

NPI number1730478066
Entity typeIndividual (Type 1)
GenderMale
Credentials PHYSICALTHERAPIST
Sole proprietorYes
NPI enumeratedApril 7, 2011
Last updated in NPPESApril 7, 2011

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Zeolla Physical Therapy Inc — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients181
Services billed 6,782 a service is one billed item, such as a visit, a test or a procedure
Average patient age75

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Zeolla Physical Therapy Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 5 clinicians in the practice; 3 are shown here.

Other providers in Agoura Hills