TIDEWATER PHYSICAL THERAPY, LLC
NPI 1407906746
Physical Therapist in Richmond, VA

Active since January 11, 2007
2040 JOHN ROLFE PKWY, RICHMOND, VA 23238(804) 754-0916(804) 754-0319 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, Jan 23, 2020, Mar 1, 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 1407906746) is a healthcare organization registered as a physical therapist in Richmond, Virginia and active in the NPI registry since January 2007. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1407906746
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTIDEWATER PHYSICAL THERAPY, LLC
Location Address2040 JOHN ROLFE PKWYRichmond, VA 23238-8111
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (919) 258-2714 · Fax (410) 648-4878
Fax(804) 754-0319
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateJanuary 11, 2007
Last NPPES UpdateNovember 25, 20243 updates tracked since enumeration
NPPES CertifiedNovember 25, 2024
NPI 1407906746 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
2040 JOHN ROLFE PKWY, Richmond, VA 23238

Other Identifiers 1

Other249822VA · 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 9

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

Occupational Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238
Physical Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238
Physical Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238
Physical Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238
Physical Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238
Physical Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238
Physical Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238
Physical Therapist
2040 JOHN ROLFE PKWY
RICHMOND, VA 23238

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 1407906746. It was assigned to this organization in the NPPES registry on January 11, 2007.

Where is Tidewater Physical Therapy, LLC located?

Tidewater Physical Therapy, LLC is located at 2040 John Rolfe Pkwy, Richmond, VA 23238. The listed phone number is (804) 754-0916.

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.