TIDEWATER PHYSICAL THERAPY, LLC – Physical Therapist, NPI 1508885948

TIDEWATER PHYSICAL THERAPY, LLC is a healthcare provider. based in Hampton, Virginia. specializing in Physical Therapist. The NPI Number for TIDEWATER PHYSICAL THERAPY, LLC is 1508885948

Main info

Organization
Name
TIDEWATER PHYSICAL THERAPY, LLC
NPI
1508885948
Phone
(757) 825-3400
Address
9 MANHATTAN SQ
Authorized Official
TASHEDA BROUGHTON MANAGER, CREDENTIALING PESC
Enumeration Date
18 July 2006
Last Update Date
25 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience58
Completeness75
Years active:19State licenses:0Digital endpointsOther names

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Provider Addresses for TIDEWATER PHYSICAL THERAPY, LLC

  • 9, Manhattan Square, Central Park, Hampton City, Virginia, 23666, United States

    SUITE B

    HAMPTON, VA 236665843

    Phone: (757) 825-3400

    Fax: (757) 825-0392

    Type: Location

  • New Fidelity Court, Garner, Wake County, North Carolina, 275, United States

    GARNER, NC 275292665

    Phone: (919) 258-2714

    Fax: (410) 648-4878

    Type: Mailing

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 ·

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

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

Insurance plans in this area (ZIP 23666)

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Reviews

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Frequently asked questions

What is the registry number for TIDEWATER PHYSICAL THERAPY, LLC?
The registry entry for TIDEWATER PHYSICAL THERAPY, LLC shows NPI 1508885948.
Should I treat TIDEWATER PHYSICAL THERAPY, LLC as an active provider?
Patients and plans typically see TIDEWATER PHYSICAL THERAPY, LLC as active in the national extract.
How should patients interpret TIDEWATER PHYSICAL THERAPY, LLC's specialty?
The extract shows Physical Therapist for TIDEWATER PHYSICAL THERAPY, LLC. Clinical services aligned with this taxonomy classification.
What city is tied to TIDEWATER PHYSICAL THERAPY, LLC?
The directory associates TIDEWATER PHYSICAL THERAPY, LLC with Hampton, Virginia. Check all listed addresses for suites or satellite offices.
Can I export TIDEWATER PHYSICAL THERAPY, LLC's record?
You can download the official NPPES record; we summarize key fields for readability.

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