| Tidewater Physical Therapy, Llc | |
| 
					4020 Raintree Rd, Ste D, Chesapeake, VA 23321-3749  | |
| (757) 484-4241 | |
| (757) 484-4487 | 
| Full Name | Tidewater Physical Therapy, Llc | 
|---|---|
| Type | Facility | 
| Speciality | Physical Therapist | 
| Location | 4020 Raintree Rd, Chesapeake, Virginia | 
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1215952361 | NPI | - | NPPES | 
| 192941 | Other | VA | BCBS (PT) | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | (* (Not Available)) | Secondary | 
| 225100000X | Physical Therapist | (* (Not Available)) | Primary | 
| Mailing Address | Practice Location Address | 
|---|---|
| Tidewater Physical Therapy, Llc 350 New Fidelity Ct, Garner, NC 27529-2665 Ph: (919) 258-2714  | Tidewater Physical Therapy, Llc 4020 Raintree Rd, Ste D, Chesapeake, VA 23321-3749 Ph: (757) 484-4241  | 
Michelle Lynn Higgins, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 733 Volvo Pkwy, Chesapeake, VA 23320 Phone: 757-547-3135  | |
Edwin Bryce Lee, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1512 Technology Dr Ste 102, Chesapeake, VA 23320 Phone: 757-227-7600  | |
Mrs. Maria Melissa L Oblena, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1259 Veranda Way, Chesapeake, VA 23320 Phone: 757-373-3732  | |
Ms. May Dimabuyu Monzon, LPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 821 Cedar Rd, Chesapeake, VA 23322 Phone: 757-547-4528  | |
Whitney Marie Randall, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 135 Hanbury Rd W Ste B, Chesapeake, VA 23322 Phone: 757-819-6512 Fax: 757-819-6517  | |
Kirsteen Mitchell,  Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2008 Dock Landing Rd, Chesapeake, VA 23321 Phone: 757-465-6300  | |
Derrick Hale Baskin, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1001 Scenic Pkwy Ste 101, Chesapeake, VA 23323 Phone: 757-388-9950  |