TIDEWATER PHYSICAL THERAPY, LLC
NPI 1982889408
Physical Therapist in Mechanicsville, VA

Active since January 03, 2008
7493 RIGHT FLANK RD, SUITE 410, MECHANICSVILLE, VA 23116(804) 569-7091(804) 569-7094 Get Directions Write a Review

NPPES record last updated: December 6, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Dec 6, 2024, May 5, 2020, Mar 1, 2017 (3 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 1982889408) is a healthcare organization registered as a physical therapist in Mechanicsville, Virginia and active in the NPI registry since January 2008. The organization lists Tasheda Broughton, Manager, Credentialing, as its authorized official.

NPPES Registry Identity

NPI1982889408
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NameTIDEWATER PHYSICAL THERAPY, LLC
Location Address7493 RIGHT FLANK RD, SUITE 410Mechanicsville, VA 23116-3846
Mailing Address2122 York Rd Ste 300Oak Brook, IL 60523-1925 · (252) 248-3133 · Fax (410) 648-4878
Fax(804) 569-7094
Organization SubpartNo
Authorized OfficialTasheda BroughtonManager, Credentialing · (252) 248-3313
Enumeration DateJanuary 3, 2008
Last NPPES UpdateDecember 6, 20243 updates tracked since enumeration
NPPES CertifiedDecember 6, 2024
NPI 1982889408 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
7493 RIGHT FLANK RD, Mechanicsville, VA 23116

Other Identifiers 2

Other342325VA · Bcbs Occupational Therapy
Other342327VA · Bcbs Physical Therapy

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

Other Providers at the Same Location NPPES 4

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

Internal Medicine
7493 RIGHT FLANK RD, SUITE 400
MECHANICSVILLE, VA 23116
Nurse Practitioner (Family)
7493 RIGHT FLANK RD, SUITE 400
MECHANICSVILLE, VA 23116
Podiatrist (Foot & Ankle Surgery)
7493 RIGHT FLANK RD
MECHANICSVILLE, VA 23116
Family Medicine
7493 RIGHT FLANK RD, SUITE 400
MECHANICSVILLE, VA 23116

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 1982889408. It was assigned to this organization in the NPPES registry on January 3, 2008.

Where is Tidewater Physical Therapy, LLC located?

Tidewater Physical Therapy, LLC is located at 7493 Right Flank Rd Suite 410, Mechanicsville, VA 23116. The listed phone number is (804) 569-7091.

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 December 6, 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.