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

Tidewater Physical Therapy LLC

Organization Physical Therapist · NPI 1265712103

Tidewater Physical Therapy LLC is a Physical Therapist in Franklin, Virginia. Licensed in Virginia. Registered with an NPI since 2011.

Licensed in
VA
In the registry since
2011
Specialties on file
4
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1580 Armory Dr Ste B
Franklin, VA 23851-2470
Phone: (757) 562-0990
Fax: (757) 562-0496
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X (VA)
Clinic/Center Taxonomy 261Q00000X

Record details

NPI number1265712103
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Juana Granados — Director, Credentialing · (630) 575-1980
Other names Pivot Physical Therapy Of Virginia
NPI enumeratedAugust 23, 2011
Last updated in NPPESApril 1, 2026
Certification dateApril 1, 2026
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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