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

Tidewater Physical Therapy, Inc

Organization Physical Therapist · NPI 1790014629

Tidewater Physical Therapy, Inc provides Physical Therapist services in Chesapeake, Virginia. Licensed in Virginia. Registered with an NPI since 2009.

Licensed in
VA
In the registry since
2009
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

135 Hanbury Rd W Ste B
Chesapeake, VA 23322-4291
Phone: (757) 819-6512
Fax: (757) 819-6517
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X (VA)
Occupational Therapist Taxonomy 225X00000X (VA)

Record details

NPI number1790014629
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Tasheda Broughton — Manager, Credentialing · (252) 248-3313
NPI enumeratedDecember 24, 2009
Last updated in NPPESNovember 25, 2024
Certification dateNovember 25, 2024
Mailing address2122 York Rd Ste 300, Oak Brook, IL 60523-1925

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