Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Tidewater Physical Therapy LLC

Physical Therapist in Ashland, VA · enumerated 2022 · authorized official Tasheda Broughton, Manager, Credentialing.

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

National Provider Identifier

1962154971

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Registry record

Entity type Organization (Type 2)

Legal business name Tidewater Physical Therapy LLC

Practice address 203 N Washington Hwy, Ashland, VA, 23005

Phone (804) 798-1112

Fax (804) 798-1171

Enumeration date Jan 20, 2022

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.

Read the full guide → Validate an NPI →

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 2024-12-06. Verify at npiregistry.cms.hhs.gov.

Where is Tidewater Physical Therapy LLC located?

The practice location on file with NPPES is in Ashland, VA.

Providers at this address

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