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

Tidewater Comprehensive Rehabilitation, PLLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1619172186

Tidewater Comprehensive Rehabilitation, PLLC is a Physical Medicine & Rehabilitation Physician in Norfolk, Virginia. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

400 Gresham Dr Ste 712
Norfolk, VA 23507-1901
Phone: (757) 622-8181
Fax: (757) 622-8088
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Medicine & Rehabilitation Physician (primary) Taxonomy 208100000X

Record details

NPI number1619172186
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official David Harris — Administrator · (757) 622-8181
Other names Tidewater Rehab
NPI enumeratedJune 15, 2007
Last updated in NPPESNovember 1, 2007
Mailing address400 Gresham Dr, Ste 712, Norfolk, VA 23507-1901

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