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TIDEWATER REHABILITATION MEDICINE
NPI 1891113155
Physical Medicine & Rehabilitation - Pain Medicine in Virginia Beach, VA

Active since April 03, 2014
1120 FIRST COLONIAL RD, SUITE 206, VIRGINIA BEACH, VA 23454(757) 496-2325(757) 496-1942 Get Directions Write a Review

NPPES record last updated: April 25, 2015. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Tidewater Rehabilitation Medicine NPPES

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

TIDEWATER REHABILITATION MEDICINE (NPI 1891113155) is a healthcare organization registered as a pain medicine in Virginia Beach, Virginia and active in the NPI registry since April 2014. The organization lists Stephen Walter Kayota, Sole Owner/authorize Official, as its authorized official.

NPPES Registry Identity

NPI1891113155
Entity TypeOrganization
Primary Taxonomy2081P2900X
Legal Business NameTIDEWATER REHABILITATION MEDICINE
Location Address1120 FIRST COLONIAL RD, SUITE 206Virginia Beach, VA 23454-2418
Mailing Address1120 First Colonial Rd, Suite 206Virginia Beach, VA 23454-2418 · (757) 496-2325 · Fax (757) 496-1942
Phone(757) 496-2325
Fax(757) 496-1942
Organization SubpartNo
Authorized OfficialStephen Walter KayotaSole Owner/authorize Official · (757) 496-2325
Enumeration DateApril 3, 2014
Last NPPES UpdateApril 25, 2015
✔ NPI 1891113155 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical Medicine & Rehabilitation · Pain MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081P2900X
License✔ Licensed in VA · 0101053621
Definition
A physician who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic or cancer pain in both hospital and ambulatory settings. Patient care needs may also be coordinated with other specialists.
Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 0101053621 (VA)
1120 FIRST COLONIAL RD, Virginia Beach, VA 23454
Open in Google Maps ↗

Other Identifiers 12

Other1891113155VA · United Healthcare
Other1891113155VA · Aetna
Other1891113155VA · Anthem Bcbs Va
Other618120600VA · Department Of Labor
Other1891113155VA · Cigna
Other1891113155VA · Virginia Health Network
Other1891113155VA · Humana Medicare
Other1891113155VA · Coventry
Medicare PIND620VA
Other1891113155VA · Optima
Other1891113155VA · Tricare
Medicaid1891113155VA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE 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 Rehabilitation Medicine is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tidewater Rehabilitation Medicine, which bills Medicare for the services this clinician delivers.

Clinician (1)

Stephen Kayota, MD
Physical Medicine and Rehabilitation
NPI 1083687099
1120 FIRST COLONIAL RD SUITE 206
Virginia Beach, VA 23454
(757) 496-2325
✔ PECOS✔ Accepts MedicareSame address

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 Rehabilitation Medicine's NPI number?

The NPI number for Tidewater Rehabilitation Medicine is 1891113155. It was assigned to this organization in the NPPES registry on April 3, 2014.

Where is Tidewater Rehabilitation Medicine located?

Tidewater Rehabilitation Medicine is located at 1120 First Colonial Rd Suite 206, Virginia Beach, VA 23454. The listed phone number is (757) 496-2325.

What is Tidewater Rehabilitation Medicine's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Pain Medicine, with taxonomy code 2081P2900X.

Is Tidewater Rehabilitation Medicine enrolled in Medicare?

Yes. Tidewater Rehabilitation Medicine is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidewater Rehabilitation Medicine?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Medicine and Rehabilitation) reassigns their Medicare billing to Tidewater Rehabilitation Medicine. 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. 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 Rehabilitation Medicine was last updated on April 25, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years 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.