Tidewater Physical Therapy, Llc

LBN: Tidewater Physical Therapy, Llc
Tidewater Physical Therapy, Llc is an health care organization with primary practice located at 751 J Clyde Morris Blvd , Newport News VA 23601-1538. 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 (757) 873-2123, or through Pearson, Penny via phone (443) 225-4492.

Contact Information

Primary practice address
751 J Clyde Morris Blvd Newport News VA 23601-1538
Phone: (757) 873-2123
Fax: (757) 873-3848
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

Profile Details

NPI number 1669493474
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 21st, 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 1669493474 NPPES
Virginia Other 192931 BCBS (PT)

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