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

Jordan P Willsie

Individual provider Physical Therapist · NPI 1841121639

Jordan P Willsie is a Physical Therapist in Private Practice in Newport News, Virginia. Practices with Tidewater Physical Therapy LLC, a 222-clinician group and accepts Medicare assignment. Licensed in Virginia.

Licensed in
VA
In the registry since
2026

Practice location Address checks out

751 J Clyde Morris Blvd
Newport News, VA 23601-1538
Phone: (757) 873-2123
Fax: (757) 873-3848
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305217750 (VA)

Record details

NPI number1841121639
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedMay 28, 2026
Last updated in NPPESMay 28, 2026
Certification dateMay 28, 2026

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2026 (0 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Newport News