MEDICARE: TIDEWATER PHYSICAL THERAPY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	C05954	OTHER	VA	GROUP MEDICARE PTAN

General Provider Information

NPI Number	:	1205345444
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIDEWATER PHYSICAL THERAPY LLC

Provider Business Mailing Address
First Line	:	350 NEW FIDELITY CT
Second Line	:
City	:	GARNER
State	:	NC
Zip	:	27529-2665
Country	:	US
Telephone Number	:	919-258-2714
Fax Number	:	410-648-4878

Provider Business Practice Location Address
First Line	:	154 E LITTLE CREEK RD
Second Line	:
City	:	NORFOLK
State	:	VA
Zip	:	23505-2503
Country	:	US
Telephone Number	:	757-797-0210
Fax Number	:	757-453-1550

Authorized Official
Title or Position	:	MANAGER, CREDENTIALING
Name	:	TASHEDA BROUGHTON
Credential	:	PESC
Telephone Number	:	252-248-3313

Provider Enumeration Date	:	09/20/2017
Last Update Date	:	11/25/2024

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