TIDEWATER PHYSICAL THERAPY, INC.
NPI 1790014629
Physical Therapist in Chesapeake, VA

Active since December 24, 2009
135 HANBURY RD W, SUITE B, CHESAPEAKE, VA 23322(757) 819-6512(757) 819-6517 Get Directions Write a Review

NPPES record last updated: November 25, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidewater Physical Therapy, Inc. NPPES

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

TIDEWATER PHYSICAL THERAPY, INC. (NPI 1790014629) is a healthcare organization registered as a physical therapist in Chesapeake, Virginia and active in the NPI registry since December 2009. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1790014629
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTIDEWATER PHYSICAL THERAPY, INC.
Location Address135 HANBURY RD W, SUITE BChesapeake, VA 23322-4291
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (252) 248-3313 · Fax (410) 648-4878
Fax(757) 819-6517
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateDecember 24, 2009
Last NPPES UpdateNovember 25, 2024
NPPES CertifiedNovember 25, 2024
NPI 1790014629 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
135 HANBURY RD W, Chesapeake, VA 23322

Other Identifiers 2

Other223951126VA · Dol Feca
Other1790014629VA · Bcbs (pt & 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

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, Inc.'s NPI number?

The NPI number for Tidewater Physical Therapy, Inc. is 1790014629. It was assigned to this organization in the NPPES registry on December 24, 2009.

Where is Tidewater Physical Therapy, Inc. located?

Tidewater Physical Therapy, Inc. is located at 135 Hanbury Rd W Suite B, Chesapeake, VA 23322. The listed phone number is (757) 819-6512.

What is Tidewater Physical Therapy, Inc.'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, Inc. 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.