TIDEWATER PHYSICAL THERAPY LLC


Address: 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216
Phone: 5404450206

TIDEWATER PHYSICAL THERAPY LLC (NPI# 1497244800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1497244800
Entity Type Organization
Organization Name TIDEWATER PHYSICAL THERAPY LLC
Other Organization Name PIVOT PHYSICAL THERAPY OF VIRGINIA
Practice Address 5629 Plank Rd Ste 107
Fredericksburg
VA 22407-7216
Mailing Address 350 New Fidelity Ct
Garner
NC 27529-2665
Practice Telephone 5404450206
Practice Fax Number 5407397473
Mailing Telephone 9192582714
Mailing Fax Number 4106484878
Enumeration Date 2018-05-02
Last Update Date 2020-05-05
Authorized Official Name PENNY PEARSON (RCM DIRECTOR)
Authorized Official Telephone 4432254492
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Pivot Physical Therapy of Virginia Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386679595 Tidewater Physical Therapy LLC Occupational Therapist 9980 Brook Rd, Unit 16, Glen Allen, VA 23059-6501 2006-07-12
1659876407 Tidewater Physical Therapy LLC Physical Therapist 15331 Creativity Dr Ste 960, Culpeper, VA 22701-2502 2018-03-26
1558869784 Tidewater Physical Therapy LLC Physical Therapist 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 2018-01-23
1972001147 Tidewater Physical Therapy LLC Physical Therapist 2925 Polo Pkwy, Midlothian, VA 23113-1453 2018-01-23
1588172993 Tidewater Physical Therapy LLC Physical Therapist 229 Connor Dr, Charlottesville, VA 22911-5604 2018-01-19
1124533609 Tidewater Physical Therapy LLC Physical Therapist 2400 Lakeside Drive, Suite 602f, Lynchburg, VA 24501 2017-12-06
1861906166 Tidewater Physical Therapy LLC Physical Therapist 1149 Jefferson Davis Hwy, Fredericksburg, VA 22401-4413 2017-11-22
1427561984 Tidewater Physical Therapy LLC Physical Therapist 10518 Spotsylvania Ave Ste 100, Fredericksburg, VA 22408-2693 2017-11-07
1841700432 Tidewater Physical Therapy LLC Physical Therapist 1441 W Main St, Salem, VA 24153-3120 2017-10-09
1205345444 Tidewater Physical Therapy LLC Physical Therapist 154 E Little Creek Rd, Norfolk, VA 23505-2503 2017-09-20

Office Location

Street Address 5629 PLANK RD STE 107
City FREDERICKSBURG
State VA
Zip Code 22407-7216

Providers in the same location

NPI Name Taxonomy Address Enumeration
1528439734 Ryan Smith Physical Therapist 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 2015-10-14
1447731807 Rafal Gwizdala Physical Therapist 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 2018-08-23
1851883771 Matthew Thomas Moleski-belski Physical Therapist 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 2018-06-06
1639622202 Gregory Mitro Physical Therapy Assistant 5629 Plank Rd Ste 107, Fredericksburg, VA 22407 2016-07-29

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174120596 Nutrition for You, LLC 1129 Heatherstone Drive, Fredericksburg, VA 22407 2020-10-08
1881241016 Jessica Tran Optometrist 395-a Spotsylvania Towne Centre, Fredericksburg, VA 22407 2019-08-22
1376039065 Virginia Cvs Pharmacy, LLC Durable Medical Equipment & Medical Supplies 6010 Plank Rd, Fredericksburg, VA 22407 2018-07-05
1366935967 Vip Medical Transportation LLC Non-emergency Medical Transport (VAN) 5710 Lucas St, Fredericksburg, VA 22407 2018-06-08
1407348501 Dina Maria Martinez Lombardy Counselor 6506 Forest Grove Dr, Fredericksburg, VA 22407 2018-06-04
1881192342 Alyssa Testa Specialist/Technologist 5219 Mcmanus Dr, Fredericksburg, VA 22407 2018-01-30
1437675725 Jacqueline D. Turner Driver 7112 Sharon Rd, Fredericksburg, VA 22407 2017-08-17
1689199556 Audrey Daniel Driver 10701 Leavells Road, Fredericksburg, VA 22407 2017-08-11
1740722982 T&d Optometry, LLC Optometrist 400 Spotsylvania Towne Centre, (spotsylvania Towne Centre--next To Jcpenney Optical), Fredericksburg, VA 22407 2016-11-04
1639521164 Fredericksburg Eyecare LLC Optometrist 395a Towne Centre Blvd, Fredericksburg, VA 22407 2016-07-08
Find all providers in zip 22407

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(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

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1598374837 John K Phelps Physical Therapist 1425 E Main St Ste 600, Fredericksburg, TX 78624-5335 2020-07-22
1164989869 Lauren Elizabeth Morris Physical Therapist 6833 Red Rose Village Dr, Fredericksburg, VA 22407-6240 2019-02-28
1750886313 Sandra Pezzillo Physical Therapist 63 Stafford Indians Ln, Fredericksburg, VA 22405-5803 2018-03-27
1548700586 Amber Hext Physical Therapist 209 N Crockett St, #2, Fredericksburg, TX 78624-3812 2017-02-23
1528439734 Ryan Smith Physical Therapist 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 2015-10-14
1518334606 Darrell Dean Dila Physical Therapist 212 Butler Rd, Fredericksburg, VA 22405 2015-08-25
1225435845 Samantha Block Physical Therapist 10524 Spotsylvania Ave Ste 102, Fredericksburg, VA 22408-8611 2014-11-25
1184966673 Sujith Subramonian Potty Physical Therapist 9300 Onyx Court, Fredericksburg, VA 22407 2013-03-22
1689911661 Kristen M Parisi Physical Therapist 55 Lorenzo Dr, Fredericksburg, VA 22405-3609 2013-01-10
1730453192 Physical Therapy of Central Virginia, LLC Physical Therapist 10524 Spotsylvania Avenue, Building 2, Fredericksburg, VA 22408 2012-03-02
Find all providers in FREDERICKSBURG

Competitor

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City FREDERICKSBURG
Zip Code 22407

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Dataset Information

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.

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