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

Chauncey Barham, PT, DPT

Individual provider Physical Therapist · NPI 1164271706

Chauncey Barham, PT, DPT is a Physical Therapist in Private Practice in Virginia Beach, Virginia. Qualified in 2024, 2 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
2
Licensed in
VA
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

2004 Sandbridge Rd Ste 102
Virginia Beach, VA 23456-4084
Phone: (757) 301-6316
Fax: (757) 301-6419
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 2076 S Independence Blvd Ste A, Virginia Beach, VA 23453-4779 — (757) 302-4144
  • 2117 McComas Way Ste 105, Virginia Beach, VA 23456-3908 — (757) 427-5505

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305216421 (VA)

Record details

NPI number1164271706
Entity typeIndividual (Type 1)
GenderMale
Credentials PT , DPT
Sole proprietorNo
NPI enumeratedMay 15, 2024
Last updated in NPPESDecember 23, 2025
Certification dateDecember 23, 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
Practice locations2 on file with Medicare

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