TIDEWATER PHYSICAL THERAPY, LLC
NPI 1366477564
Physical Therapist in Norfolk, VA

Active since July 12, 2006
6161 KEMPSVILLE CIR, SUITE 250, NORFOLK, VA 23502(757) 965-4890(757) 965-4893 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: May 5, 2020, Mar 1, 2017 (2 updates tracked since 2017).

About Tidewater Physical Therapy, Llc NPPES

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

TIDEWATER PHYSICAL THERAPY, LLC (NPI 1366477564) is a healthcare organization registered as a physical therapist in Norfolk, Virginia and active in the NPI registry since July 2006. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1366477564
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTIDEWATER PHYSICAL THERAPY, LLC
Location Address6161 KEMPSVILLE CIR, SUITE 250Norfolk, VA 23502-3932
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (252) 248-3313 · Fax (410) 648-4878
Fax(757) 965-4893
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 25, 20242 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1366477564 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:<ul><li>Diagnose and manage movement dysfunction and enhance physical and functional abilities.</li><li>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.</li><li>Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.</li><li>Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.</li><li>Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.</li></ul>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
6161 KEMPSVILLE CIR, Norfolk, VA 23502

Other Identifiers 1

Other192967VA · Bcbs (pt)

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 20

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

Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Durable Medical Equipment & Medical Supplies
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Specialist
6161 KEMPSVILLE CIR, SUITE 215
NORFOLK, VA 23502
Psychiatry & Neurology (Neurology)
6161 KEMPSVILLE CIR, SUITE 315
NORFOLK, VA 23502
Physical Therapist
6161 KEMPSVILLE CIR, STE 250
NORFOLK, VA 23502
Surgery (Plastic and Reconstructive Surgery)
6161 KEMPSVILLE CIR, SUITE 300
NORFOLK, VA 23502
Dentist (Dentist Anesthesiologist)
6161 KEMPSVILLE CIR, SUITE 345
NORFOLK, VA 23502
Physical Therapist
6161 KEMPSVILLE CIR
NORFOLK, VA 23502

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 1366477564. It was assigned to this organization in the NPPES registry on July 12, 2006.

Where is Tidewater Physical Therapy, LLC located?

Tidewater Physical Therapy, LLC is located at 6161 Kempsville Cir Suite 250, Norfolk, VA 23502. The listed phone number is (757) 965-4890.

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 with the weekly NPPES data releases published by CMS.