TIDEWATER THERAPY FOR CHILDREN, PC
NPI 1386667400
Physical Therapist - Pediatrics in Chesapeake, VA

Q: What is Tidewater Therapy For Children, PC's NPI number?

The NPI number for Tidewater Therapy For Children, PC is 1386667400. It was assigned to this organization in the NPPES registry on July 26, 2006.

Q: What is Tidewater Therapy For Children, PC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

Active since July 26, 2006

4016 RAINTREE RD, SUITE 240, CHESAPEAKE, VA 23321(757) 488-2864(757) 488-4735 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Tidewater Therapy For Children, Pc NPPES

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

TIDEWATER THERAPY FOR CHILDREN, PC (NPI 1386667400) is a healthcare organization registered as a pediatrics in Chesapeake, Virginia and active in the NPI registry since July 2006. The organization lists Jessica Ml Dupree, Office/insurance Manager, as its authorized official.

NPPES Registry Identity

NPI1386667400

Entity TypeOrganization

Primary Taxonomy2251P0200X

Legal Business NameTIDEWATER THERAPY FOR CHILDREN, PC

Location Address4016 RAINTREE RD, SUITE 240Chesapeake, VA 23321-3700

Mailing Address4016 Raintree Rd, Suite 240Chesapeake, VA 23321-3700 · (757) 488-2864 · Fax (757) 488-4735

Phone(757) 488-2864

Fax(757) 488-4735

Organization SubpartNo

Authorized OfficialJessica Ml DupreeOffice/insurance Manager · (757) 488-2864

Enumeration DateJuly 26, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1386667400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · PediatricsRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Taxonomy Code2251P0200X

Definition

A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given.

4016 RAINTREE RD, Chesapeake, VA 23321

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Other Identifiers 2

Other194322VA · Anthem Provider #

Other57242VA · Optima Provider #

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.

CLAIRE ALLYSON LAIBSTAIN BCBA

Behavior Analyst

4016 RAINTREE RD
CHESAPEAKE, VA 23321

Chesapeake City (757) 465-3933

MRS. SUSAN P ELLEBRACHT MA, CCC-SLP

Speech-Language Pathologist

4016 RAINTREE RD, SUITE 240
CHESAPEAKE, VA 23321

Chesapeake City (757) 488-2864

STACEY L HAUGHT PT

Physical Therapist (Pediatrics)

4016 RAINTREE RD, SUITE 240
CHESAPEAKE, VA 23321

Chesapeake City (757) 488-2864

MRS. LORI L STEELE MS, CCC-SLP

Speech-Language Pathologist

4016 RAINTREE RD, SUITE 240
CHESAPEAKE, VA 23321

Chesapeake City (757) 488-2864

TIDEWATER THERAPY FOR CHILDREN, PC

Speech-Language Pathologist

4016 RAINTREE RD, SUITE 240
CHESAPEAKE, VA 23321

Chesapeake City (757) 488-2864

KENDALL BUONVIRI BCABA, LABA

Behavior Analyst

4016 RAINTREE RD
CHESAPEAKE, VA 23321

Chesapeake City (757) 465-3933

REBECCA SCHWARTZMAN RBT

Behavior Technician

4016 RAINTREE RD
CHESAPEAKE, VA 23321

Chesapeake City (757) 390-8594

MRS. MICHELLE P POWERS MS, CCC-SLP

Speech-Language Pathologist

4016 RAINTREE RD
CHESAPEAKE, VA 23321

Chesapeake City (757) 488-2864

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 Therapy For Children, PC's NPI number?

The NPI number for Tidewater Therapy For Children, PC is 1386667400. It was assigned to this organization in the NPPES registry on July 26, 2006.

Where is Tidewater Therapy For Children, PC located?

Tidewater Therapy For Children, PC is located at 4016 Raintree Rd Suite 240, Chesapeake, VA 23321. The listed phone number is (757) 488-2864.

What is Tidewater Therapy For Children, PC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Pediatrics, with taxonomy code 2251P0200X.

When was this NPI record last updated?

The NPPES record for Tidewater Therapy For Children, PC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.