MEDICARE: TIDEWATER PELVIC HEALTH

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	261QP2000X	Physical Therapy Clinic/Center

General Provider Information

NPI Number	:	1154130276
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TIDEWATER PELVIC HEALTH

Provider Business Mailing Address
First Line	:	3705 N QUEENSGROVE CIR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-3815
Country	:	US
Telephone Number	:	757-503-5996
Fax Number	:

Provider Business Practice Location Address
First Line	:	3705 N QUEENSGROVE CIR
Second Line	:
City	:	VIRGINIA BEACH
State	:	VA
Zip	:	23452-3815
Country	:	US
Telephone Number	:	757-503-5996
Fax Number	:

Authorized Official
Title or Position	:	PHYSICAL THERAPIST, OWNER
Name	:	MEGHAN KAROL
Credential	:	DPT
Telephone Number	:	757-503-5996

Provider Enumeration Date	:	01/03/2025
Last Update Date	:	01/03/2025

Similar Medicare Providers

1407840382 — DR. TRENT PAUL CONELIAS DDS
Practice Location Address:

6033 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-3815

Practice Phone: 757-424-2672
Practice Fax: 757-366-0482

1831125251 — DR. THOMAS WAYNE MOSTILER D.D.S.
Practice Location Address:

6033 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-3815

Practice Phone: 757-424-2672
Practice Fax:

1265929913 — TRENT P CONELIAS DDS, PC
Practice Location Address:

6033 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-3815

Practice Phone: 757-424-2672
Practice Fax:

1447736681 — YELLOW CAB OF VIRGINIA BEACH INC.
Practice Location Address:

6053 PROVIDENCE RD
VIRGINIA BEACH, VA
23464-3815

Practice Phone: 757-460-0605
Practice Fax: 757-460-0622

1568204402 — TAMAR MAZAL BERGER GASKO CF-SLP
Practice Location Address:

1125 W VIRGINIA AVE NE
WASHINGTON, DC
20002-3815

Practice Phone: 240-507-4419
Practice Fax:

1437017506 — ASHLEY ELCINE
Practice Location Address:

335 S CHILLINGWORTH DR
WEST PALM BEACH, FL
33409-3815

Practice Phone: 561-856-0261
Practice Fax:

Directions to “TIDEWATER PELVIC HEALTH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.