Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

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

Phone (757) 496-2325

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

Phone (757) 496-2325

Other identifiers

Identifier	Type	State	Issuer
1891113155	Other	VA	AETNA
1891113155	Other	VA	ANTHEM BCBS VA
1891113155	Medicaid	VA	-
1891113155	Other	VA	OPTIMA
1891113155	Other	VA	COVENTRY
1891113155	Other	VA	HUMANA MEDICARE
1891113155	Other	VA	CIGNA
1891113155	Other	VA	VIRGINIA HEALTH NETWORK
1891113155	Other	VA	UNITED HEALTHCARE
618120600	Other	VA	DEPARTMENT OF LABOR
1891113155	Other	VA	TRICARE

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.

Providers at this address

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