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 1295256170

Tidewater Physical Therapy LLC is a Physical Therapist in Midlothian, Virginia. Registered with an NPI since 2017.

In the registry since
2017
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

15757 Wc Main St
Midlothian, VA 23113-7327
Phone: (804) 858-0220
Fax: (804) 419-0127
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X

Record details

NPI number1295256170
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy Of Virginia
NPI enumeratedJune 30, 2017
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address350 New Fidelity Ct, Garner, NC 27529-2665

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