TIDEWATER PHYSICAL THERAPY LLC
NPI 1386679595
Physical Therapist in Glen Allen, VA

Active since July 12, 2006
9980 BROOK RD, UNIT 16, GLEN ALLEN, VA 23059(804) 550-5730(804) 550-5733 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 5, 2020, Jan 23, 2020, Feb 21, 2017 (3 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 1386679595) is a healthcare organization registered as a physical therapist in Glen Allen, Virginia and active in the NPI registry since July 2006. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1386679595
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTIDEWATER PHYSICAL THERAPY LLC
Location Address9980 BROOK RD, UNIT 16Glen Allen, VA 23059-6501
Mailing Address350 New Fidelity CtGarner, NC 27529-2665 · (919) 258-2714 · Fax (410) 648-4878
Fax(804) 550-5733
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateJuly 12, 2006
Last NPPES UpdateNovember 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1386679595 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
9980 BROOK RD, Glen Allen, VA 23059

Other Identifiers 2

Other192969VA · Bcbs (pt)
Other192970VA · Bcbs (ot)

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

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

Physical Therapist
9980 BROOK RD, UNIT 16
GLEN ALLEN, VA 23059

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 1386679595. 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 9980 Brook Rd Unit 16, Glen Allen, VA 23059. The listed phone number is (804) 550-5730.

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.