Tidewater Physical Therapy, Llc
LBN: Tidewater Physical Therapy, Llc
Tidewater Physical Therapy, Llc is an health care organization with primary practice located at 6049 Harbour Park Dr , Midlothian VA 23112-2160. 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) 639-2359, or through Pearson, Penny via phone (443) 225-4492.
Contact Information
Primary practice address
6049 Harbour Park Dr
Midlothian VA 23112-2160
Phone: (804) 639-2359
Fax: (804) 639-2029
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | ||
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X |
Profile Details
| NPI number | 1508896622 |
|---|---|
| LBN Legal business name | Tidewater Physical Therapy, Llc |
| DBA Doing business as | |
| Authorized official | Pearson, Penny |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jul 4th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508896622 | NPPES |
| Virginia | Other | PT - 192944 | BLUE CROSS BLUE SHIELD |
| Virginia | Other | OT - 192945 | BLUE CROSS BLUE SHIELD |
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