1669493474 TIDEWATER PHYSICAL THERAPY, LLC

Physical Therapist

Active

Basic Information

Organization Name
TIDEWATER PHYSICAL THERAPY, LLC
Enumeration Date
July 21, 2006
Last Update
November 19, 2024
Authorized Official
TASHEDA BROUGHTON
CREDENTIALING MANAGER
Phone: (252) 248-3313

Practice Location

Address
751 J CLYDE MORRIS BLVD
NEWPORT NEWS, VA 236011538
Phone
(757) 873-2123
Fax
(757) 873-3848

Mailing Address

Address
2122 YORK RD STE 300
OAK BROOK, IL 605231925
Phone
(630) 575-1980
Fax
(630) 928-5080

Specialties & Taxonomies

Specialty Code Classification License State Primary
Occupational Therapist
 225X00000X Occupational Therapist N/A N/A No
Clinic/Center
 261Q00000X Clinic/Center N/A N/A No
Physical Therapist
 225100000X Physical Therapist N/A N/A Primary

Other Identifiers

Identifier Type State Issuer
192931 01 VA BCBS (PT)

Frequently Asked Questions

What is TIDEWATER PHYSICAL THERAPY, LLC's NPI number?
TIDEWATER PHYSICAL THERAPY, LLC's NPI number is 1669493474.
Which doctor has NPI number 1669493474?
The doctor with NPI number 1669493474 is TIDEWATER PHYSICAL THERAPY, LLC.
What is TIDEWATER PHYSICAL THERAPY, LLC's practice address?
TIDEWATER PHYSICAL THERAPY, LLC's practice address is 751 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA, 236011538.
Which doctor practices at 751 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA, 236011538?
TIDEWATER PHYSICAL THERAPY, LLC practices at 751 J CLYDE MORRIS BLVD, NEWPORT NEWS, VA, 236011538.
What is TIDEWATER PHYSICAL THERAPY, LLC's mailing address?
TIDEWATER PHYSICAL THERAPY, LLC's mailing address is 2122 YORK RD STE 300, OAK BROOK, IL, 605231925.
What is TIDEWATER PHYSICAL THERAPY, LLC's phone number?
TIDEWATER PHYSICAL THERAPY, LLC's phone number is (757) 873-2123.
Who is (757) 873-2123?
(757) 873-2123 is the phone number for TIDEWATER PHYSICAL THERAPY, LLC.
What is TIDEWATER PHYSICAL THERAPY, LLC's specialty?
TIDEWATER PHYSICAL THERAPY, LLC's specialty is Physical Therapist.
What type of doctor is TIDEWATER PHYSICAL THERAPY, LLC?
TIDEWATER PHYSICAL THERAPY, LLC is a Physical Therapist.
Is TIDEWATER PHYSICAL THERAPY, LLC a Physical Therapist?
Yes, TIDEWATER PHYSICAL THERAPY, LLC is a Physical Therapist.
Is TIDEWATER PHYSICAL THERAPY, LLC still practicing?
Yes, TIDEWATER PHYSICAL THERAPY, LLC is currently practicing.
Is TIDEWATER PHYSICAL THERAPY, LLC accepting new patients?
TIDEWATER PHYSICAL THERAPY, LLC may be accepting new patients. Please call their office at (757) 873-2123 to inquire about availability.
Is NPI 1669493474 still active?
Yes, NPI 1669493474 is currently active.
Where does TIDEWATER PHYSICAL THERAPY, LLC practice?
TIDEWATER PHYSICAL THERAPY, LLC practices in NEWPORT NEWS, VA.