TIDEWATER PHYSICAL THERAPY, LLC
NPI 1093172181
Physical Therapist in Virginia Beach, VA

Active since January 21, 2016
1745 CAMELOT DR, SUITE 100, VIRGINIA BEACH, VA 23454(757) 961-4800(757) 961-0233 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 5, 2020, Mar 1, 2017, Jan 21, 2016 (3 updates tracked since 2016).

About Tidewater Physical Therapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWATER PHYSICAL THERAPY, LLC (NPI 1093172181) is a healthcare organization registered as a physical therapist in Virginia Beach, Virginia and active in the NPI registry since January 2016. The organization lists Tasheda Broughton, Manger, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1093172181
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTIDEWATER PHYSICAL THERAPY, LLC
Location Address1745 CAMELOT DR, SUITE 100Virginia Beach, VA 23454-2435
Mailing Address350 New Fidelity CtGarner, NC 27529-2665 · (919) 258-2714
Fax(757) 961-0233
Organization SubpartNo
Authorized OfficialTasheda BroughtonManger, Credentialing · (252) 248-3313
Enumeration DateJanuary 21, 2016
Last NPPES UpdateNovember 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1093172181 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
1745 CAMELOT DR, Virginia Beach, VA 23454

Other Identifiers 1

OtherC05954VA · Medicare Group Ptan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
1745 CAMELOT DR, SUITE 200
VIRGINIA BEACH, VA 23454
Social Worker (Clinical)
1745 CAMELOT DR, SUITE 200
VIRGINIA BEACH, VA 23454
Psychiatry & Neurology (Psychiatry)
1745 CAMELOT DR, SUITE 200
VIRGINIA BEACH, VA 23454
Counselor (Mental Health)
1745 CAMELOT DR, SUITE 200
VIRGINIA BEACH, VA 23454
Psychiatry & Neurology (Psychiatry)
1745 CAMELOT DR
VIRGINIA BEACH, VA 23454
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
1745 CAMELOT DR, STE 100
VIRGINIA BEACH, VA 23454
Physical Therapist
1745 CAMELOT DR
VIRGINIA BEACH, VA 23454
Social Worker (Clinical)
1745 CAMELOT DR, SUITE 200
VIRGINIA BEACH, VA 23454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidewater Physical Therapy, LLC's NPI number?

The NPI number for Tidewater Physical Therapy, LLC is 1093172181. It was assigned to this organization in the NPPES registry on January 21, 2016.

Where is Tidewater Physical Therapy, LLC located?

Tidewater Physical Therapy, LLC is located at 1745 Camelot Dr Suite 100, Virginia Beach, VA 23454. The listed phone number is (757) 961-4800.

What is Tidewater Physical Therapy, LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

When was this NPI record last updated?

The NPPES record for Tidewater Physical Therapy, LLC was last updated on November 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.