TIDEWATER PHYSICAL THERAPY
NPI 1730263302
Physical Therapist in Easton, MD

NPI Status: Active since October 24, 2006

Contact Information

406 MARVEL CT
EASTON, MD
ZIP 21601
Phone: (410) 822-4613
Fax: (410) 822-6534

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  • Organization
  • Physical Therapist
  • Accepts Insurance

About TIDEWATER PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Tidewater Physical Therapy, a provider established in Easton, Maryland operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1730263302 assigned on October 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 14 years ago. Tidewater Physical Therapy operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's other name is Tidewater Physical Therapy. The authorized official of this NPI record is Linda Booze (Finance Manager)

NPI
1730263302
Provider Legal Name
TIDEWATER PHYSICAL THERAPY AND REHABILITATION ASSOCIATES, P.A.
Other Organization Name
TIDEWATER PHYSICAL THERAPY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
406 MARVEL CT EASTON, MD 21601
Location Phone
(410) 822-4613
Location Fax
(410) 822-6534
Mailing Address
PO BOX 1564 EASTON, MD 21601
Mailing Phone
(410) 822-4613
Mailing Fax
(410) 822-6534
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
Last Update Date
08-14-2012
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Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Description
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Silver - EPO
  • Clear Silver + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Complete Silver - EPO
  • Complete Silver + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze - EPO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Gold - EPO
  • Elite Gold + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Everyday Gold - EPO
  • Everyday Gold + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • Choice Bronze HSA - EPO
  • Choice Bronze HSA + Vision + Adult Dental - EPO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - HMO
  • Complete Gold + Vision + Adult Dental - HMO
  • Elite Bronze - EPO
  • Elite Bronze - HMO
  • Elite Bronze + Vision + Adult Dental - EPO
  • Elite Bronze + Vision + Adult Dental - HMO
  • Clear Gold - EPO
  • Clear Gold + Vision + Adult Dental - EPO
  • Complete Gold - EPO
  • Complete Gold + Vision + Adult Dental - EPO
  • Elite Silver - EPO
  • Elite Silver + Vision + Adult Dental - EPO
  • Everyday Bronze - EPO
  • Everyday Bronze + Vision + Adult Dental - EPO
  • Focused Silver - EPO
  • Focused Silver + Vision + Adult Dental - EPO
  • my Blue Access Major Events Select PPO Catastrophic 10600 - 3 Free PCP Visits - PPO
  • my Blue Access Select PPO Bronze 3800 - PPO
  • my Blue Access Select PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Bronze 9200 - PPO
  • my Blue Access Select PPO Gold 0 - PPO
  • my Blue Access Select PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Gold 1700 HSA - PPO
  • my Blue Access Select PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Platinum 0 + Adult Dental and Vision - PPO
  • my Blue Access Select PPO Premier Silver 0 + Adult Dental and Vision - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA BOOZE

Authorized Official Title
FINANCE MANAGER
Authorized Official Phone
(410) 822-4613

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
216538MEDICARE ID-TYPE UNSPECIFIED (04)MD 
216538MEDICARE OSCAR/CERTIFICATION (06)MD 
086513MEDICARE ID-TYPE UNSPECIFIED (04)DE 
0000220726MEDICAID (05)DE 
435138000MEDICAID (05)MD 
086513MEDICARE OSCAR/CERTIFICATION (06)DE 

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1730263302, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 58. The final step is to find the difference between that total and the next multiple of ten (60 - 58 = 2).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
3
Doubled → 6
Pos 4
0
Unchanged
Pos 5
2
Doubled → 4
Pos 6
6
Unchanged
Pos 7
3
Doubled → 6
Pos 8
3
Unchanged
Pos 9
0
Doubled → 0
Check
2
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 3 → 6 2 → 4 3 → 6 0 → 0

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 6 + 0 + 4 + 6 + 6 + 3 + 0 + 24 = 58

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 58 is 60. The difference is the calculated check digit.

60 - 58 = 2
This NPI is valid
The calculated check digit is 2, which matches the last digit of 1730263302.

Other Providers at the Same Location


The following 7 providers are registered at the same or a nearby location.

Physical Therapist (Electrophysiology, Clinical)
406 MARVEL CT
EASTON, MD 21601
Occupational Therapist
406 MARVEL CT
EASTON, MD 21601
Dietitian, Registered
406 MARVEL CT
EASTON, MD 21601
Physical Therapist
406 MARVEL CT
EASTON, MD 21601
Nurse Practitioner (Adult Health)
406 MARVEL CT
EASTON, MD 21601
Physical Medicine & Rehabilitation
406 MARVEL CT
EASTON, MD 21601
General Practice
406 MARVEL CT
EASTON, MD 21601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730263302, enumerated as an "organization" on October 24, 2006.

The provider is located at 406 MARVEL CT EASTON, MD 21601 and the phone number is (410) 822-4613.

Physical Therapist with taxonomy code 225100000X.

The provider might be accepting Accepts: Ambetter from Home State Health, Ambetter from NH. Please consult your insurance carrier or call the provider to verify.