TIDEWATER PHYSICAL THERAPY, LLC
NPI 1932648649
Physical Therapist in Charlottesville, VA

Active since February 14, 2017
1490 PANTOPS MOUNTAIN PL, SUITE 202, CHARLOTTESVILLE, VA 22911(434) 245-6472(434) 245-6474 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 2, 2025, Dec 6, 2024, May 5, 2020 and 2 more (5 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 1932648649), doing business as Pantops Physical Therapy, is a healthcare organization registered as a physical therapist in Charlottesville, Virginia and active in the NPI registry since February 2017. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1932648649
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTIDEWATER PHYSICAL THERAPY, LLC
Location Address1490 PANTOPS MOUNTAIN PL, SUITE 202Charlottesville, VA 22911-4601
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (252) 248-3133 · Fax (410) 648-4878
Fax(434) 245-6474
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateFebruary 14, 2017
Last NPPES UpdateSeptember 2, 20255 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1932648649 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
1490 PANTOPS MOUNTAIN PL, Charlottesville, VA 22911

Other Names 1

Doing Business AsPantops Physical Therapy

Other Identifiers 1

OtherC05954VA · Group Medicare Ptan

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 13

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

Surgery (Plastic and Reconstructive Surgery)
1490 PANTOPS MOUNTAIN PL, SUITE 100
CHARLOTTESVILLE, VA 22911
Occupational Therapist
1490 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
Health Educator
1490 PANTOPS MOUNTAIN PL, SIUTE 202
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL, SUITE 200
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL, SUITE 200
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL, SUITE 200
CHARLOTTESVILLE, VA 22911
Physical Therapist
1490 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911
Family Medicine
1490 PANTOPS MOUNTAIN PL
CHARLOTTESVILLE, VA 22911

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 1932648649. It was assigned to this organization in the NPPES registry on February 14, 2017. The provider is doing business as Pantops Physical Therapy.

Where is Tidewater Physical Therapy, LLC located?

Tidewater Physical Therapy, LLC is located at 1490 Pantops Mountain Pl Suite 202, Charlottesville, VA 22911. The listed phone number is (434) 245-6472.

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 September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.