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: October 18, 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

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tidewater Physical Therapy, Inc. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

379

Medicare enrollment records show 379 clinicians reassign Medicare billing to Tidewater Physical Therapy, Inc., which bills Medicare for the services they deliver. Of these, 5 practice at this address and 15 within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 3

Physical Therapist in Private Practice374
Occupational Therapist in Private Practice4
Qualified Speech Language Pathologist1

Nearest to this location (20)

See all 379
Physical Therapist in Private Practice
NPI 1205690914
135 HANBURY RD W STE B
Chesapeake, VA 23322
(757) 819-6512
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1952656944
135 HANBURY RD W STE B
Chesapeake, VA 23322
(757) 819-6512
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1851029870
135 HANBURY RD W STE B
Chesapeake, VA 23322
(757) 819-6512
Same address
Physical Therapist in Private Practice
NPI 1932456829
135 HANBURY RD W STE B
Chesapeake, VA 23322
(757) 819-6512
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1144078346
135 HANBURY RD W STE B
Chesapeake, VA 23322
(757) 819-6512
✔ Accepts MedicareSame address
Physical Therapist in Private Practice
NPI 1427665421
236 CARMICHAEL WAY STE 303
Chesapeake, VA 23322
(757) 908-2106
✔ Accepts Medicare2.0 mi
Physical Therapist in Private Practice
NPI 1538728696
680 KINGSBOROUGH SQ STE B
Chesapeake, VA 23320
(757) 547-0434
✔ Accepts Medicare3.8 mi
Physical Therapist in Private Practice
NPI 1891270617
680 KINGSBOROUGH SQ STE B
Chesapeake, VA 23320
(757) 547-0434
✔ Accepts Medicare3.8 mi
Physical Therapist in Private Practice
NPI 1306405048
927 BATTLEFIELD BLVD N
Chesapeake, VA 23320
(757) 436-3350
✔ Accepts Medicare4.5 mi
Physical Therapist in Private Practice
NPI 1891868683
927 BATTLEFIELD BLVD N STE 200
Chesapeake, VA 23320
(757) 436-3350
✔ Accepts Medicare4.5 mi
Physical Therapist in Private Practice
NPI 1750171930
927 BATTLEFIELD BLVD N STE 200
Chesapeake, VA 23320
(757) 436-3350
✔ Accepts Medicare4.5 mi
Physical Therapist in Private Practice
NPI 1245088178
1412 GREENBRIER PKWY STE 134
Chesapeake, VA 23320
(757) 609-0600
✔ Accepts Medicare6.1 mi
Physical Therapist in Private Practice
NPI 1154151934
1412 GREENBRIER PKWY STE 134
Chesapeake, VA 23320
(757) 609-0600
✔ Accepts Medicare6.1 mi
Physical Therapist in Private Practice
NPI 1285244038
1444 KEMPSVILLE RD
Virginia Beach, VA 23464
(757) 453-3440
✔ Accepts Medicare7.9 mi
Physical Therapist in Private Practice
NPI 1922756006
1924 LANDSTOWN CENTRE WAY
Virginia Beach, VA 23456
(757) 668-2729
✔ Accepts Medicare9.9 mi
Physical Therapist in Private Practice
NPI 1124279559
6161 KEMPSVILLE CIR STE 250
Norfolk, VA 23502
(757) 965-4890
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1548018971
6161 KEMPSVILLE CIR STE 250
Norfolk, VA 23502
(757) 459-2112
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1346853942
5712 CLEVELAND ST STE 150
Virginia Beach, VA 23462
(757) 490-4802
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1770211948
839 POPLAR HALL DR
Norfolk, VA 23502
(757) 459-2112
✔ Accepts Medicare11 mi
Physical Therapist in Private Practice
NPI 1952080343
4625 VIRGINIA BEACH BLVD STE 103
Virginia Beach, VA 23462
(757) 600-5999
✔ Accepts Medicare12 mi
See all 379 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

Is Tidewater Physical Therapy, Inc. enrolled in Medicare?

Yes. Tidewater Physical Therapy, Inc. is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidewater Physical Therapy, Inc.?

According to the CMS Revalidation Reassignment List (October 2026 release), 379 clinicians in 3 Medicare specialties reassign their Medicare billing to Tidewater Physical Therapy, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Physical Therapist in Private Practice (374), Occupational Therapist in Private Practice (4) and Qualified Speech Language Pathologist (1). Of these, 5 practice at this address and 15 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 22 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.