Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Tidewater Physical Therapy, LLC

Physical Therapist in Powhatan, VA · enumerated 2009 · authorized official Tasheda Broughton, Manager, Credentialing.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1609004571

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Tidewater Physical Therapy, LLC

Other name <Unavail>

Practice address 3510 Anderson Hwy, Suite 2, Powhatan, VA, 23139

Phone (804) 598-2100

Fax (804) 598-7624

Enumeration date Jun 30, 2009

Last updated in NPPES Nov 25, 2024

Taxonomy & classification

225100000X Physical Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Primary

225X00000X Occupational Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

Authorized official

Name Tasheda Broughton

Title Manager, Credentialing

Phone (252) 248-3313

Other identifiers

Identifier	Type	State	Issuer
223951124	Other	VA	DEPT OF LABOR/ACS
1609004571	Other	VA	BCBS (PHYSICAL THERAPY)
1609004571	Other	VA	BCBS (OCCUPATIONAL THERAPY)

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Tidewater Physical Therapy, LLC?

Tidewater Physical Therapy, LLC is registered in NPPES as a Physical Therapist (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Lauren Beard Physical Therapist · Powhatan, VA NPI 1619106424 Abigail Barden Physical Therapist · Powhatan, VA NPI 1174957005 Morgan Reid Physical Therapist · Powhatan, VA NPI 1922513118 Christina Graham Family Nurse Practitioner · Powhatan, VA NPI 1689214108 Daniel Curran Physician Assistant · Powhatan, VA NPI 1174133714 Michelle Tiet Family Nurse Practitioner · Powhatan, VA NPI 1912796103

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-11-25.