Tidewater Physical Therapy, Llc
Physical Therapist
About Tidewater Physical Therapy, Llc
Tidewater Physical Therapy, Llc is a healthcare organization providing Physical Therapist services, registered under National Provider Identifier (NPI) number 1003114083. The authorized official for Tidewater Physical Therapy, Llc is TASHEDA BROUGHTON.
The organization is headquartered at 4831 S LABURNUM AVE, Richmond, Virginia 23231. The main office can be reached at (804) 222-0746. Tidewater Physical Therapy, Llc has been NPI-registered since 2011.
Locations & Contact
Primary Location
- Address
- 4831 S LABURNUM AVE
- City
- Richmond
- State
- Virginia
- ZIP
- 23231-2713
- Phone
- (804) 222-0746
- Fax
- (804) 222-0728
Authorized Official
- Name
- TASHEDA BROUGHTON
Mailing Address
- Address
- 2122 YORK RD STE 300
- City
- OAK BROOK
- State
- IL
- ZIP
- 605231925
NPI Registration
- Enumeration Date
- Last Updated
- Certification Date
Services & Taxonomy
Specialty & Classification
- Primary Specialty
- Physical Therapist
- Classification
- Physical Therapist
- Taxonomy Code
- 225100000X
Medicare Enrollment
- Medicare Enrolled
- No
- Can Order/Refer
- No
- Telehealth
- No
- Excluded
- No
Frequently Asked Questions
What is Tidewater Physical Therapy, Llc's NPI number?
What does Tidewater Physical Therapy, Llc specialize in?
Where is Tidewater Physical Therapy, Llc located?
Does Tidewater Physical Therapy, Llc accept Medicare?
Does Tidewater Physical Therapy, Llc offer telehealth or virtual visits?
What is a Type 2 NPI (Organization)?
A Type 2 NPI is assigned to healthcare organizations such as hospitals, group practices, clinics, and other medical entities. Unlike Type 1 NPIs issued to individual providers, a Type 2 NPI identifies the organization itself and is used for billing, claims processing, and identification in healthcare transactions. Tidewater Physical Therapy, Llc holds NPI 1003114083, which serves as its unique identifier across all Medicare and HIPAA-covered transactions.