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

Tidewater Physical Therapy, Inc

Organization Physical Therapist · NPI 1972845972

Tidewater Physical Therapy, Inc is a Physical Therapist in West Point, Virginia. Licensed in Virginia. Registered with an NPI since 2013.

Licensed in
VA
In the registry since
2013
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

100 Winters St Ste 106
West Point, VA 23181-9534
Phone: (804) 843-9033
Fax: (804) 843-9037
Show map & directions

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 number1972845972
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
NPI enumeratedMarch 18, 2013
Last updated in NPPESDecember 6, 2024
Certification dateDecember 6, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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