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

Tidewater Physical Therapy, Inc

Organization Physical Therapist · NPI 1790014629

Tidewater Physical Therapy, Inc is a Physical Therapist in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Hanbury Rd W Ste B
Chesapeake, VA 23322-4291
Phone: (757) 819-6512
Fax: (757) 819-6517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (VA)
Occupational Therapist Taxonomy 225X00000X (VA)

Record details

NPI number1790014629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
NPI enumeratedDecember 24, 2009
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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