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

Tidewater Physical Therapy, LLC

Organization Physical Therapist · NPI 1669627048

Tidewater Physical Therapy, LLC is a Physical Therapist in Chester, Virginia. Licensed in Virginia. Registered with an NPI since 2008.

Licensed in
VA
In the registry since
2008
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

10438 Iron Bridge Rd Unit 34
Chester, VA 23831-1427
Phone: (804) 796-1518
Fax: (804) 796-1543
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

Record details

NPI number1669627048
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
Other names Pivot Physical Therapy Of Virginia
NPI enumeratedNovember 26, 2008
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Other providers in Chester