TIDEWATER PHYSICAL THERAPY, LLC (NPI# 1407906746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407906746 |
| Entity Type | Organization |
| Organization Name | TIDEWATER PHYSICAL THERAPY, LLC |
| Practice Address |
2040 John Rolfe Pkwy Richmond VA 23238-8111 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 8047540916 |
| Practice Fax Number | 8047540319 |
| Mailing Telephone | 9192582714 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | PENNY PEARSON (RCM DIRECTOR) |
| Authorized Official Telephone | 4432254492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225X00000X | Occupational Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225100000X | Physical Therapist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | BCBS (PT) | 249822 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270973 | Tidewater Physical Therapy, LLC | Physical Therapist | 392 Garrisonville Rd Ste 208, Stafford, VA 22554-1576 | 2018-06-29 |
| 1942703491 | Tidewater Physical Therapy, LLC | Physical Therapist | 872 Prices Fork Rd, Blacksburg, VA 24060-3229 | 2018-03-12 |
| 1609004571 | Tidewater Physical Therapy, LLC | Occupational Therapist | 3510 Anderson Hwy, Suite 2, Powhatan, VA 23139 | 2009-06-30 |
| 1669627048 | Tidewater Physical Therapy, LLC | Occupational Therapist | 10438 Iron Bridge Rd Unit 34, Chester, VA 23831-1427 | 2008-11-26 |
| 1265501696 | Tidewater Physical Therapy, LLC | Occupational Therapist | 2004 Sandbridge Rd, Suite 102, Virginia Beach, VA 23456-4084 | 2006-11-07 |
| 1821192220 | Tidewater Physical Therapy, LLC | Occupational Therapist | 227 Wadsworth Dr, Richmond, VA 23236-4510 | 2006-09-08 |
| 1942229901 | Tidewater Physical Therapy, LLC | Occupational Therapist | 4125 Ironbound Rd Ste 101, Williamsburg, VA 23188-2666 | 2006-07-19 |
| 1467471896 | Tidewater Physical Therapy, LLC | Occupational Therapist | 12494 Warwick Blvd, Newport News, VA 23606-3000 | 2006-07-18 |
| 1477588986 | Tidewater Physical Therapy, LLC | Occupational Therapist | 10128 W Broad St, Forum Building IIi, Suite K, Glen Allen, VA 23060-6761 | 2006-07-12 |
| 1508898354 | Tidewater Physical Therapy, LLC | Occupational Therapist | 300 B Temple Lake Drive, Suite 1, Colonial Heights, VA 23834-2938 | 2006-07-06 |
| Street Address |
2040 JOHN ROLFE PKWY |
| City | RICHMOND |
| State | VA |
| Zip Code | 23238-8111 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487752945 | Andrea Katz | Physical Therapist | 2040 John Rolfe Pkwy, Richmond, VA 23238-8111 | 2006-09-20 |
| 1205452497 | William Michael Benusa Jenkins | Physical Therapist | 2040 John Rolfe Pkwy, Richmond, VA 23238-8111 | 2020-06-23 |
| 1134697733 | Daniel Roquemore | Physical Therapist | 2040 John Rolfe Pkwy, Richmond, VA 23238-8111 | 2018-11-13 |
| 1831635895 | Melissa L. Pollock | Physical Therapist | 2040 John Rolfe Pkwy, Richmond, VA 23238-8111 | 2017-01-16 |
| 1487062568 | Jennifer M. Seaton | Physical Therapist | 2040 John Rolfe Pkwy, Richmond, VA 23238 | 2014-08-01 |
| 1598844763 | Ghazala Saeed | Physical Therapist | 2040 John Rolfe Pkwy, Richmond, VA 23238-8111 | 2006-11-06 |
| 1104924125 | Sonya M Bautista | Physical Therapist | 2040 John Rolfe Pkwy, Richmond, VA 23238-8111 | 2006-09-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053921627 | Acorn Pediatrics, Inc | Pediatrics | 2610-b Gaskins Road, Henrico, VA 23238 | 2020-08-07 |
| 1093378028 | Neepaben C Patel | Physical Therapist | 2620 A Gaskins Rd, Henrico, VA 23238 | 2019-04-16 |
| 1598246530 | Mohini T Chandra | Occupational Therapist | 1900 Lakewood Drive, Richmond, VA 23238 | 2018-08-28 |
| 1275035743 | Henry Davis Holland Jr. | Speech-Language Pathologist | 1773 Robins Nest Ct., Henrico, VA 23238 | 2018-03-01 |
| 1811352651 | Taylor Krafcik | Acupuncturist | 10617 Patterson Ave, Henrico, VA 23238 | 2015-12-21 |
| 1245603430 | Ashley Sharice Crawley | Physical Therapist | 1209 Falstaff Court, Henrico, VA 23238 | 2015-11-10 |
| 1174966832 | Milton Alexander Boyd | Internal Medicine | 1531 Monmouth Pl, Richmond, VA 23238 | 2013-04-12 |
| 1760778534 | Terri Esposito | Physical Therapist | 1600 John Rolfe Pkwy., Richmond, VA 23238 | 2011-06-21 |
| 1073841649 | Pulmonary Assessments | Clinic/Center | 149 West Square Ct, Richmond, VA 23238 | 2009-11-19 |
| 1538329156 | Michael B Holbert | Dentist | 2620-b Gaskins Road, Richmond, VA 23238 | 2008-06-17 |
| Find all providers in zip 23238 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003422965 | Chandler Hagan Mcpherson | Physical Therapist | 1400 Gibson Bay Dr, Richmond, KY 40475-3800 | 2020-09-16 |
| 1518589902 | Pelvic Prana, LLC | Physical Therapist | 8 N Robinson St, Richmond, VA 23220-4430 | 2020-05-08 |
| 1407480882 | Stephen V Teng | Physical Therapist | 1500 Jackson St Ste 400, Richmond, TX 77469-3250 | 2020-02-25 |
| 1548804958 | Industrial Health, LLC | Physical Therapist | 9019 W Broad St, Richmond, VA 23294-5809 | 2019-10-30 |
| 1508426164 | Matthew Tyler Ward | Physical Therapist | 5899 Bremo Rd Ste 100b, Richmond, VA 23226-1935 | 2019-06-17 |
| 1255998837 | Kavitha Parasumanna Janarthanaa | Physical Therapist | 16806 Lessels Ln, Richmond, TX 77407-2258 | 2019-05-20 |
| 1467018101 | Chelsea Mannion | Physical Therapist | 20 S Boulevard Apt 4, Richmond, VA 23220-5797 | 2019-05-17 |
| 1578020111 | Aloysius Cabatingan | Physical Therapist | 22607 Duncan Brush Trce, Richmond, TX 77469-4766 | 2019-03-01 |
| 1952867509 | Confident Living Home Therapy Consulting LLC | Physical Therapist | 1276 Concord Ave, Richmond, VA 23228-6518 | 2019-02-19 |
| 1962968115 | Daily Touch LLC | Physical Therapist | 8900 Three Chopt Rd Ste D, Richmond, VA 23229-4615 | 2019-02-13 |
| Find all providers in RICHMOND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.