TIDEWATER THERAPY FOR CHILDREN, PC – Pediatric Physical Therapist, NPI 1386667400

TIDEWATER THERAPY FOR CHILDREN, PC is a healthcare provider. based in Chesapeake, Virginia. specializing in Pediatric Physical Therapist. The NPI Number for TIDEWATER THERAPY FOR CHILDREN, PC is 1386667400

Main info

Organization
Name
TIDEWATER THERAPY FOR CHILDREN, PC
NPI
1386667400
Phone
(757) 488-2864
Address
4016 RAINTREE RD
Authorized Official
MRS. JESSICA ML DUPREE OFFICE/INSURANCE MANAGER BS
Enumeration Date
26 July 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for TIDEWATER THERAPY FOR CHILDREN, PC

  • 4016, Raintree Road, Shorewood, Western Branch, Chesapeake, Virginia, 23321, United States

    SUITE 240

    CHESAPEAKE, VA 233213700

    Phone: (757) 488-2864

    Fax: (757) 488-4735

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 23321)

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Reviews

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Frequently asked questions

Is there an official ID for TIDEWATER THERAPY FOR CHILDREN, PC in U.S. healthcare records?
The official identifier for TIDEWATER THERAPY FOR CHILDREN, PC is NPI 1386667400.
Active or inactive — what applies to TIDEWATER THERAPY FOR CHILDREN, PC?
You should see TIDEWATER THERAPY FOR CHILDREN, PC as active in CMS-hosted NPPES data.
What clinical focus is listed for TIDEWATER THERAPY FOR CHILDREN, PC?
At a glance, TIDEWATER THERAPY FOR CHILDREN, PC is tied to Pediatric Physical Therapist. Clinical services aligned with this taxonomy classification.
Is TIDEWATER THERAPY FOR CHILDREN, PC located near Chesapeake?
TIDEWATER THERAPY FOR CHILDREN, PC currently maps to Chesapeake, Virginia in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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