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

Brendan Thomas Wilbur, DPT

Individual provider Physical Therapist · NPI 1639923790

Brendan Thomas Wilbur, DPT is a Physical Therapist in Private Practice in Glen Allen, Virginia. Qualified in 2024, 2 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

9980 Brook Rd Unit 16A
Glen Allen, VA 23059-6501
Phone: (804) 550-5730
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216637 (VA)

Record details

NPI number1639923790
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedApril 15, 2024
Last updated in NPPESJanuary 14, 2025
Certification dateJanuary 14, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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