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

Tidewater Therapy for Children, PC

Organization Pediatric Physical Therapist · NPI 1316051287

Tidewater Therapy for Children, PC is a Pediatric Physical Therapist in Chesapeake, Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
4
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4016 Raintree Rd Ste 240
Chesapeake, VA 23321-3700
Phone: (757) 488-2864
Fax: (757) 488-4735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Early Intervention Provider Agency (primary) Taxonomy 252Y00000X
Pediatric Physical Therapist Taxonomy 2251P0200X
Pediatric Occupational Therapist Taxonomy 225XP0200X
Speech-Language Pathologist Taxonomy 235Z00000X

Record details

NPI number1316051287
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Dupree — Office/Insurance Manager · (757) 488-2864
NPI enumeratedAugust 18, 2006
Last updated in NPPESApril 10, 2026
Certification dateApril 10, 2026
Mailing address4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700

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