Tidewater Physical Therapy, Llc

LBN: Tidewater Physical Therapy, Llc
Tidewater Physical Therapy, Llc is an health care organization with primary practice located at 2040 John Rolfe Pkwy , Richmond VA 23238-8111. The organization recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Tidewater Physical Therapy, Llc can be contacted via phone (804) 754-0916, or through Pearson, Penny via phone (443) 225-4492.

Contact Information

Primary practice address
2040 John Rolfe Pkwy Richmond VA 23238-8111
Fax: (804) 754-0319
Website:
Authorized official contact:
Name: Pearson, Penny

Profile Details

NPI number 1407906746
LBN Legal business name Tidewater Physical Therapy, Llc
DBA Doing business as
Authorized official Pearson, Penny
Entity Organization
Organization subpart 1 No
Enumeration date Jan 11th, 2007
Last updated May 5th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407906746 NPPES
Virginia Other 249822 BCBS (PT)

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