TIDEWATER PHYSICAL THERAPY
NPI 1730263302
Physical Therapist in Easton, MD

NPI Status: Active since October 24, 2006

Contact Information

406 MARVEL CT
EASTON, MD
ZIP 21601
Phone: (410) 822-4613
Fax: (410) 822-6534

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  • Organization
  • Physical Therapist
  • Accepts Insurance

About TIDEWATER PHYSICAL THERAPY

This page provides the complete NPI Profile along with additional information for Tidewater Physical Therapy, a provider established in Easton, Maryland operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1730263302 assigned on October 2006. The practitioner's primary taxonomy code is 225100000X. The provider is registered as an organization and their NPI record was last updated 13 years ago. Tidewater Physical Therapy operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Tidewater Physical Therapy. The authorized official of this NPI record is Linda Booze (Finance Manager)

NPI
1730263302
Provider Legal Name
TIDEWATER PHYSICAL THERAPY AND REHABILITATION ASSOCIATES, P.A.
Other Organization Name
TIDEWATER PHYSICAL THERAPY
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
406 MARVEL CT EASTON, MD 21601
Location Phone
(410) 822-4613
Location Fax
(410) 822-6534
Mailing Address
PO BOX 1564 EASTON, MD 21601
Mailing Phone
(410) 822-4613
Mailing Fax
(410) 822-6534
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
10-24-2006
Last Update Date
08-14-2012
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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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

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)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

 
2235Z00000XSpeech, Language and Hearing Service Providers

Speech-Language Pathologist

 

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:

  • Gold S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • Silver S: Aetna network + $0 MinuteClinic + $0 CVS Health Virtual Primary Care - HMO
  • my Blue Access Major Events PPO Catastrophic 9200 - 3 Free PCP Visits - PPO
  • my Blue Access PPO Bronze 3800 - PPO
  • my Blue Access PPO Bronze 3800 + Adult Dental and Vision - PPO
  • my Blue Access PPO Bronze 7400 HSA - Custom Drug Benefit - PPO
  • my Blue Access PPO Bronze 8900 - PPO
  • my Blue Access PPO Gold 0 - PPO
  • my Blue Access PPO Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Gold 1700 HSA - PPO
  • my Blue Access PPO Premier Gold 0 - PPO
  • my Blue Access PPO Premier Gold 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Premier Platinum 0 - PPO
  • my Blue Access PPO Premier Platinum 0 + Adult Dental and Vision - PPO
  • my Blue Access PPO Silver 7000 - PPO
  • my Blue Access PPO Standard Bronze 7500 - PPO
  • my Blue Access PPO Standard Gold 1500 - PPO
  • my Blue Access PPO Standard Platinum 0 - PPO
  • my Blue Access PPO Standard Silver 5000 - PPO
  • my Blue Access PPO Standard Silver 5000 + Adult Dental and Vision - PPO

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

LINDA BOOZE

Authorized Official Title
FINANCE MANAGER
Authorized Official Phone
(410) 822-4613

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
216538MEDICARE ID-TYPE UNSPECIFIED (04)MD 
216538MEDICARE OSCAR/CERTIFICATION (06)MD 
086513MEDICARE ID-TYPE UNSPECIFIED (04)DE 
0000220726MEDICAID (05)DE 
435138000MEDICAID (05)MD 
086513MEDICARE OSCAR/CERTIFICATION (06)DE 

Reviews for TIDEWATER PHYSICAL THERAPY

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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.
1730263302
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
276046630
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 6 + 0 + 4 + 6 + 6 + 3 + 0 + 24 = 58
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 58 = 22

The NPI number 1730263302 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 6 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1356425938W JAMES DOWNS JR PT PA
Organization
Physical Therapist (Electrophysiology, Clinical)406 MARVEL CT
EASTON, MD 21601
(410) 822-4613
1801975115 PATRICIA JOANNE HENDRIE OT
Individual
Occupational Therapist406 MARVEL CT
EASTON, MD 21601
(410) 822-4613
1881991271 KATHLEEN A TOEPFER R.D.
Individual
Dietitian, Registered406 MARVEL CT
EASTON, MD 21601
(240) 375-8918
1386723625 W JAMES DOWNS JR. PT PA
Individual
Physical Therapist406 MARVEL CT
EASTON, MD 21601
(410) 822-4613
1154337368MRS. KATHRINE M. WARE NP
Individual
Nurse Practitioner (Adult Health)406 MARVEL CT
EASTON, MD 21601
(301) 486-4690
1356910624 JACOB CANNON DPT
Individual
Physical Medicine & Rehabilitation406 MARVEL CT
EASTON, MD 21601
(410) 822-4613

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1730263302, enumerated in the NPI registry as an "organization" on October 24, 2006

The provider is located at 406 Marvel Ct Easton, Md 21601 and the phone number is (410) 822-4613

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

The provider might be accepting Accepts: Aetna CVS Health, Highmark Blue Cross Blue Shield. 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 October 24, 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.