TIDEWATER PHYSICAL THERAPY LLC (NPI# 1972001147) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972001147 |
| Entity Type | Organization |
| Organization Name | TIDEWATER PHYSICAL THERAPY LLC |
| Other Organization Name | PIVOT PHYSICAL THERAPY |
| Practice Address |
2925 Polo Pkwy Midlothian VA 23113-1453 |
| Mailing Address |
350 New Fidelity Ct Garner NC 27529-2665 |
| Practice Telephone | 8047947587 |
| Practice Fax Number | 8047944560 |
| Mailing Telephone | 9192582714 |
| Mailing Fax Number | 4106484878 |
| Enumeration Date | 2018-01-23 |
| Last Update Date | 2020-05-05 |
| Authorized Official Name | PENNY PEARSON (RCM DIRECTOR) |
| Authorized Official Telephone | 4432254492 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | VA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Pivot Physical Therapy | Doing Business As Name - Organization |
| 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 |
| 1588172993 | Tidewater Physical Therapy LLC | Physical Therapist | 229 Connor Dr, Charlottesville, VA 22911-5604 | 2018-01-19 |
| 1124533609 | Tidewater Physical Therapy LLC | Physical Therapist | 2400 Lakeside Drive, Suite 602f, Lynchburg, VA 24501 | 2017-12-06 |
| 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 |
| Street Address |
2925 POLO PKWY |
| City | MIDLOTHIAN |
| State | VA |
| Zip Code | 23113-1453 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326137985 | Madeline M. Bryan | Speech-Language Pathologist | 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 2006-10-12 |
| 1295343093 | Rachael Block Condrey | Physical Therapist | 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 2020-07-17 |
| 1487052908 | Tegan Carper Haith | Physical Therapist | 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 2014-12-16 |
| 1548388556 | Kristin M. Kelley | Physical Therapist | 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 2007-03-27 |
| 1881739027 | Ashley Beckwith Hughes | Occupational Therapist | 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 2007-02-21 |
| 1578600912 | Crippled Children's Hospital | Occupational Therapist | 2925 Polo Pkwy, Children's Hsopital Therapy Center, Midlothian, VA 23113-1453 | 2007-02-01 |
| 1962549303 | Crippled Children's Hospital | Physical Therapist | 2925 Polo Pkwy, Children's Hospital Therapy Center, Midlothian, VA 23113-1453 | 2007-02-01 |
| 1154468981 | Crippled Children's Hospital | Speech-Language Pathologist | 2925 Polo Pkwy, Children's Hospital Therapy Center, Midlothian, VA 23113-1453 | 2007-01-31 |
| 1689759094 | Patricia Margaret Stevens | Occupational Therapist | 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 2006-10-25 |
| 1497835532 | Gail Divizio Grubb | Speech-Language Pathologist | 2925 Polo Pkwy, Midlothian, VA 23113-1453 | 2006-10-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881211167 | River Run Dental Midlothian Pllc | Dentist | 14261 Winterview Parkway, Midlothian, VA 23113 | 2020-07-02 |
| 1447891981 | Dianne Carter Mays | Technician | 10901 Live Oak Court, Midlothian, VA 23113 | 2019-10-07 |
| 1023538444 | Kathryn Marie Logsdon | Physical Therapist | 2900 Calcutt Drive, Midlothian, VA 23113 | 2017-06-27 |
| 1801244694 | Anjali N Kalore | Internal Medicine | 10925 Live Oak Ct, Midlothian, VA 23113 | 2016-06-02 |
| 1124415971 | Cara E. Corbelli | Chiropractor | 1520 Huguenot Rd Ste 113, Midlothian, VA 23113 | 2015-04-20 |
| 1922438639 | Orthovirginia, Inc | Orthopaedic Surgery | 13801 St. Francis Blvd, Suite 200, Midlothian, VA 23113 | 2013-11-15 |
| 1811334832 | Kara Keuthan Beatty | Psychiatry & Neurology | 1525 Huguenot Rd Ste 201, Midlothian, VA 23113 | 2013-05-31 |
| 1770854697 | R. Adrian Sorenson Dds and William R. Monacell Dds | Dentist | 14420 Sommerville Ct., Midlothian, VA 23113 | 2012-01-24 |
| 1336418995 | Hush Fine Lingerie LLC | Prosthetic/Orthotic Supplier | 15712 Wc Main Strett, Westchester Commons Shopping Center, Midlothian, VA 23113 | 2011-12-27 |
| 1205118163 | Rebecca Barton | Pharmacist | 10401 Midlothian Tnpk, Midlothian, VA 23113 | 2011-09-15 |
| Find all providers in zip 23113 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043845209 | Rachel Rand Smith | Physical Therapist | 611 Watkins Centre Pkwy Ste 300, Midlothian, VA 23114-4492 | 2020-03-09 |
| 1659911337 | Emily Mahaffey | Physical Therapist | 14051 St Francis Blvd Ste 2202, Midlothian, VA 23114-3203 | 2020-01-10 |
| 1154887792 | Tanisha Dawn Miller | Physical Therapist | 2821 Brads Way, Midlothian, TX 76065-7065 | 2019-02-19 |
| 1992278386 | Macye E Rexrode | Physical Therapist | 2436 Colony Crossing Pl Ste 2, Midlothian, VA 23112-4281 | 2019-01-08 |
| 1316412182 | Snehal Manmeet Mahajan | Physical Therapist | 13800 Bon Secours Dr., Midlothian, VA 23114 | 2018-10-09 |
| 1275040792 | Brent A Thomas | Physical Therapist | 3034 Paisley Dr, Midlothian, TX 76065-2189 | 2018-01-05 |
| 1386169118 | Brandon Poen | Physical Therapist | 2820 Waterford Lake Dr., Unit 013, Midlothian, VA 23112 | 2017-08-14 |
| 1174076574 | Alicia Green | Physical Therapist | 2531 Eagles Nest Ct, Midlothian, TX 76065-4707 | 2016-08-02 |
| 1427445469 | William F. Calautti | Physical Therapist | 6306 Walnut Bend Ter, Midlothian, VA 23112-2391 | 2015-04-16 |
| 1861810871 | Lynn S. Moon | Physical Therapist | 2100 Brandermill Parkway, Midlothian, VA 23112 | 2014-04-07 |
| Find all providers in MIDLOTHIAN | ||||
| City | MIDLOTHIAN |
| Zip Code | 23113 |
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| 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.