TIDEWATER PHYSICAL THERAPY, LLC
NPI 1033138094
Physical Therapist in Williamsburg, VA
NPI Status: Active since July 19, 2006
Contact Information
4125 IRONBOUND RD
STE 100
WILLIAMSBURG, VA
ZIP 23188
Phone: (757) 220-8383
Fax: (757) 253-7833
- Organization
- Physical Therapist
About TIDEWATER PHYSICAL THERAPY, LLC
This page provides the complete NPI Profile along with additional information for Tidewater Physical Therapy, Llc, a provider established in Williamsburg, Virginia operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1033138094 assigned on July 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated one year ago. Tidewater Physical Therapy, Llc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Tasheda Broughton Pesc (Manger, Credentialing)
- NPI
- 1033138094
- Provider Name
- TIDEWATER PHYSICAL THERAPY, LLC
- Entity Type
- Organization
- Location Address
- 4125 IRONBOUND RD STE 100 WILLIAMSBURG, VA 23188
- Location Phone
- (757) 220-8383
- Location Fax
- (757) 253-7833
- Mailing Address
- 2122 YORK RD STE 300 OAK BROOK, IL 60523
- Mailing Phone
- (252) 248-3133
- Mailing Fax
- (757) 253-7833
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-19-2006
- Last Update Date
- 11-25-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Physical Therapist
- Taxonomy Code
- 225100000X
- Type
- Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Taxonomy Description
- Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 192935 | OTHER (01) | VA | BCBS (PT) |
| 192937 | OTHER (01) | VA | BCBS (OT) |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 0 | 3 | 3 | 1 | 3 | 8 | 0 | 9 | 4 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 0 | 6 | 3 | 2 | 3 | 16 | 0 | 18 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 0 + 6 + 3 + 2 + 3 + 1 + 6 + 0 + 1 + 8 + 24 = 56 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 56 = 4 | 4 | ||||||||
The NPI number 1033138094 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 9 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1508831645 | DR. CHARLES E WILHELM MD Individual | Orthopaedic Surgery | 4125 IRONBOUND RD STE 201 WILLIAMSBURG, VA 23188 (757) 253-0603 |
| 1497717300 | MRS. CHRISTINE ROBERT PT Individual | Physical Therapist | 4125 IRONBOUND RD SUITE 100 WILLIAMSBURG, VA 23188 (757) 220-8383 |
| 1811211394 | DIGESTIVE DISEASE CENTER OF VIRGINIA, PC Organization | Internal Medicine (Gastroenterology) | 4125 IRONBOUND RD SUITE 201 WILLIAMSBURG, VA 23188 (757) 232-8769 |
| 1184978496 | MR. JARED ROSS HOWELL MSED, ATC Individual | Specialist/Technologist (Athletic Trainer) | 4125 IRONBOUND RD WILLIAMSBURG, VA 23188 (757) 220-8383 |
| 1417198144 | CYNTHIA J HARTMAN PT Individual | Physical Therapist | 4125 IRONBOUND RD SUITE 100 WILLIAMSBURG, VA 23188 (757) 220-8383 |
| 1407934359 | JOANNA M. KOKOLIS PT, DPT Individual | Physical Therapist | 4125 IRONBOUND RD SUITE 100 WILLIAMSBURG, VA 23188 (757) 220-8383 |
| 1487900239 | CARMEN M. MULHERIN PT, DPT Individual | Physical Therapist | 4125 IRONBOUND RD SUITE 100 WILLIAMSBURG, VA 23188 (757) 220-8383 |
| 1306951116 | SARITA GOLIKERI SUBRAMANIAM MD Individual | Family Medicine (Geriatric Medicine) | 4125 IRONBOUND RD SUITE 200 WILLIAMSBURG, VA 23188 (757) 345-2829 |
| 1659377356 | CHRISTOPHER J. CICCONE M.D. Individual | Family Medicine | 4125 IRONBOUND RD SUITE 200 WILLIAMSBURG, VA 23188 (757) 345-2829 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033138094, enumerated in the NPI registry as an "organization" on July 19, 2006
The provider is located at 4125 Ironbound Rd Ste 100 Williamsburg, Va 23188 and the phone number is (757) 220-8383
This medical organization specializes in Physical Therapist with taxonomy code 225100000X
The provider might be accepting Accepts: Blue Cross Blue Shield, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
This NPI record was last updated on July 19, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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