Tidewater Physical Therapy, Llc

LBN: Tidewater Physical Therapy, Llc
Tidewater Physical Therapy, Llc is an health care organization with primary practice located at 771 Pilot House Dr Suite A, Newport News VA 23606-1990. The organization recently has 3 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, Speech, Language and Hearing Service Providers / Speech-Language Pathologist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is the primary health care specialty. Tidewater Physical Therapy, Llc can be contacted via phone (757) 873-2302, or through Pearson, Penny via phone (443) 225-4492.

Contact Information

Primary practice address
771 Pilot House Dr Suite A Newport News VA 23606-1990
Phone: (757) 873-2302
Fax: (757) 873-2306
Website:
Map and Directions
Authorized official contact:
Name: Pearson, Penny
Phone: (443) 225-4492

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X

Profile Details

NPI number 1457389595
LBN Legal business name Tidewater Physical Therapy, Llc
DBA Doing business as
Authorized official Pearson, Penny
Entity Organization
Organization subpart 1 No
Enumeration date Jun 29th, 2006
Last updated May 5th, 2020 - about 5 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 1457389595 NPPES
Virginia Other C12068 MEDICARE RAILROAD

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