TIDEWATER PHYSICAL THERAPY LLC


Address: 2400 Lakeside Drive, Suite 602f, Lynchburg, VA 24501
Phone: 4343387215

TIDEWATER PHYSICAL THERAPY LLC (NPI# 1124533609) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124533609
Entity Type Organization
Organization Name TIDEWATER PHYSICAL THERAPY LLC
Other Organization Name PIVOT PHYSICAL THERAPY OF VIRGINIA
Practice Address 2400 Lakeside Drive
Suite 602f
Lynchburg
VA 24501
Mailing Address 350 New Fidelity Ct
Garner
NC 27529-2665
Practice Telephone 4343387215
Practice Fax Number 4342121936
Mailing Telephone 9192582714
Mailing Fax Number 4106484878
Enumeration Date 2017-12-06
Last Update Date 2020-05-05
Authorized Official Name PENNY PEARSON (RCM DIRECTOR)
Authorized Official Telephone 4432254492
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 225100000X Physical Therapist VA Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Other Provider/Organization Names

Other Name Type Code
Pivot Physical Therapy of Virginia Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1386679595 Tidewater Physical Therapy LLC Occupational Therapist 9980 Brook Rd, Unit 16, Glen Allen, VA 23059-6501 2006-07-12
1497244800 Tidewater Physical Therapy LLC Physical Therapist 5629 Plank Rd Ste 107, Fredericksburg, VA 22407-7216 2018-05-02
1659876407 Tidewater Physical Therapy LLC Physical Therapist 15331 Creativity Dr Ste 960, Culpeper, VA 22701-2502 2018-03-26
1558869784 Tidewater Physical Therapy LLC Physical Therapist 44 Broad Street Rd, Manakin Sabot, VA 23103-2213 2018-01-23
1972001147 Tidewater Physical Therapy LLC Physical Therapist 2925 Polo Pkwy, Midlothian, VA 23113-1453 2018-01-23
1588172993 Tidewater Physical Therapy LLC Physical Therapist 229 Connor Dr, Charlottesville, VA 22911-5604 2018-01-19
1861906166 Tidewater Physical Therapy LLC Physical Therapist 1149 Jefferson Davis Hwy, Fredericksburg, VA 22401-4413 2017-11-22
1427561984 Tidewater Physical Therapy LLC Physical Therapist 10518 Spotsylvania Ave Ste 100, Fredericksburg, VA 22408-2693 2017-11-07
1841700432 Tidewater Physical Therapy LLC Physical Therapist 1441 W Main St, Salem, VA 24153-3120 2017-10-09
1205345444 Tidewater Physical Therapy LLC Physical Therapist 154 E Little Creek Rd, Norfolk, VA 23505-2503 2017-09-20

Office Location

Street Address 2400 LAKESIDE DRIVE
SUITE 602F
City LYNCHBURG
State VA
Zip Code 24501

Providers in the same location

NPI Name Taxonomy Address Enumeration
1285066209 Brandon M. Conner Physical Therapist 2400 Lakeside Drive, Suite 602f, Lynchburg, VA 24501 2013-08-01
1205340528 Amy K. W. Hevener Physical Therapist 2400 Lakeside Drive, Bldg F, Lynchburg, VA 24501 2017-11-22

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1720606957 Evidence Based Counseling Solutions Speech-Language Pathologist 302 Oakley Ave, Lynchburg, VA 24501 2020-07-14
1740805506 Ryan Buschmann Physical Therapist 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 2020-06-08
1528525276 Julia M Mcauley-gonzalez Nurse Practitioner Cvfp Immediate Care - Airport, 14005 Wards Rd - Suite A, Lynchburg, VA 24501 2019-02-28
1548732795 Morgan Rose Nails Chiropractor 3012 Forest Hills Circle, Lynchburg, VA 24501 2018-12-28
1407346935 Belva Shelor Psychologist 1201 Floyd Street, Lynchburg, VA 24501 2018-05-10
1770092447 Bio-medical Applications of Virginia, Inc. Clinic/Center 3204 Old Forest Rd, Lynchburg, VA 24501 2017-09-26
1447774518 Restoring Peace Counseling Services Clinic/Center 3311 Old Forest Rd Ste 101, Lynchburg, VA 24501 2017-08-01
1427578335 Vinh Thinh T Huynh Family Medicine 2323 Memorial Avenue, Suite #10, Lynchburg, VA 24501 2017-06-21
1811436769 Jordan Legendre Student in an Organized Health Care Education/Training Program 2900 Weeping Willow Drive, Apt. I, Lynchburg, VA 24501 2017-02-13
1114465861 Shanika Harris Specialist/Technologist 1501 Lakeside Drive, Lynchburg, VA 24501 2017-02-02
Find all providers in zip 24501

Taxonomy Information

Taxonomy Code 225100000X
Grouping Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification Physical Therapist

Taxonomy Definition

(1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury.
Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1740805506 Ryan Buschmann Physical Therapist 2400 Lakeside Drivve, Suite 602f, Lynchburg, VA 24501 2020-06-08
1003392630 Hope Johnson Trent Physical Therapist 20311 Timberlake Rd # B, Lynchburg, VA 24502-7203 2018-07-17
1851892756 Jonathan Alan Coffey Physical Therapist 1046 Rivermont Ter, Lynchburg, VA 24503-2546 2018-02-26
1386163673 Nicole Gerlich Physical Therapist 425 Trents Ferry Rd, Lynchburg, VA 24503-1025 2017-09-18
1437519006 Susan Knight Physical Therapist 111 Morgan St, Lynchburg, VA 24501-1609 2016-02-25
1487021218 Jonathan Roeber Physical Therapist 5080 Village Hwy, Lynchburg, VA 24504-5380 2015-08-27
1730566068 Joseph Grabaskas Physical Therapist 4509 Hilltop Dr, Lynchburg, VA 24502-5001 2015-05-06
1063899474 Angela Ripley Physical Therapist 922 Mount Olivet Church Rd, Lynchburg, VA 24504-4026 2015-05-05
1831583475 Robert Price Physical Therapist 398 Coopers Creek Ln, Lynchburg, TN 37352-5677 2015-03-21
1164850970 Deborah Hart Physical Therapist 175 Grace Ln, Lynchburg, TN 37352-7071 2013-10-15
Find all providers in LYNCHBURG

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City LYNCHBURG
Zip Code 24501

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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