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

Tidewater Therapy for Children, PC

Organization Pediatric Physical Therapist · NPI 1386667400

Tidewater Therapy for Children, PC provides Pediatric Physical Therapist services in Chesapeake, Virginia. Registered with an NPI since 2006.

In the registry since
2006
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4016 Raintree Rd Ste 240
Chesapeake, VA 23321-3700
Phone: (757) 488-2864
Fax: (757) 488-4735
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pediatric Physical Therapist (primary) Taxonomy 2251P0200X

Record details

NPI number1386667400
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Dupree — Office/Insurance Manager · (757) 488-2864
NPI enumeratedJuly 26, 2006
Last updated in NPPESAugust 22, 2020
Mailing address4016 Raintree Rd, Suite 240, Chesapeake, VA 23321-3700

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