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

Peter Chang, DPT

Individual provider Physical Therapist · NPI 1750694899

Peter Chang, DPT is a Physical Therapist in Private Practice in Glen Allen, Virginia. Qualified in 2010, 16 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
16
Licensed in
VA
In the registry since
2010
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

10128 W Broad St Bldg 3
Glen Allen, VA 23060-6761
Phone: (804) 217-9210
Fax: (804) 217-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1700 Willow Lawn Dr, Richmond, VA 23230-3003 — (804) 340-1193

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 2305206545 (VA)

Record details

NPI number1750694899
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJuly 19, 2010
Last updated in NPPESNovember 12, 2025
Certification dateNovember 12, 2025
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2010 (16 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Glen Allen