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

Sandro Minichiello, DPT

Individual provider Physical Therapist · NPI 1336894476

Sandro Minichiello, DPT is a Physical Therapist in Private Practice in Virginia Beach, Virginia. Qualified in 2021, 5 years ago. Practices with Tidewater Physical Therapy LLC, a 222-clinician group and accepts Medicare assignment. Licensed in Virginia.

Years since qualifying
5
Licensed in
VA
In the registry since
2022
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

2004 Sandbridge Rd
Virginia Beach, VA 23456-4084
Phone: (757) 301-6316
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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 2305214900 (VA)

Record details

NPI number1336894476
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedFebruary 17, 2022
Last updated in NPPESMarch 28, 2022
Certification dateMarch 28, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Tidewater Physical Therapy Llc — 222 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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