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Tidewater Rehabilitation Medicine

Pain Medicine (Physical Medicine & Rehabilitation) Physician in Virginia Beach, VA · enumerated 2014 · authorized official Stephen Kayota, Sole Owner/Authorize Official.

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

National Provider Identifier

1891113155

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Registry record

Entity type Organization (Type 2)
Legal business name Tidewater Rehabilitation Medicine
Practice address 1120 First Colonial Rd, Suite 206, Virginia Beach, VA, 23454
Fax (757) 496-1942
Enumeration date Apr 3, 2014
Last updated in NPPES Apr 25, 2015

Taxonomy & classification

208100000X Physical Medicine & Rehabilitation Physician Allopathic & Osteopathic Physicians · License 0101053621 (VA) Secondary
2081P2900X Pain Medicine (Physical Medicine & Rehabilitation) Physician Allopathic & Osteopathic Physicians · License 0101053621 (VA) Primary

Authorized official

Name Stephen Kayota
Title Sole Owner/Authorize Official

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

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2015-04-25. Verify at npiregistry.cms.hhs.gov.
Where is Tidewater Rehabilitation Medicine located?
The practice location on file with NPPES is in Virginia Beach, VA.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2015-04-25.