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Tidewater Physical Therapy LLC

Physical Therapist in Fredericksburg, VA · enumerated 2017 · authorized official Tasheda Broughton, Manager, Credentialing.

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

National Provider Identifier

1861906166

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Registry record

Entity type Organization (Type 2)
Legal business name Tidewater Physical Therapy LLC
Other name <Unavail>
Practice address 1149 Emancipation Hwy, Fredericksburg, VA, 22401
Phone (540) 322-2518
Fax (540) 739-7472
Enumeration date Nov 22, 2017
Last updated in NPPES Dec 6, 2024

Taxonomy & classification

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

Authorized official

Name Tasheda Broughton
Title Manager, Credentialing
Phone (252) 248-3313

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.

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Frequently asked questions

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.
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).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2024-12-06.