Tidewater Therapy For Children, Pc is a medicare enrolled "Early Intervention Provider Agency" provider in Chesapeake, Virginia. Their current practice location is
4016 Raintree Rd, Suite 240, Chesapeake, Virginia. You can reach out to their office (for appointments etc.) via phone at
(757) 488-2864.
Tidewater Therapy For Children, Pc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Tidewater Therapy For Children, Pc
is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1316051287.
Healthcare Provider's Profile
| Full Name | Tidewater Therapy For Children, Pc |
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| Type | Facility |
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| Speciality | Early Intervention Provider Agency |
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| Location | 4016 Raintree Rd, Chesapeake, Virginia |
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| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1316051287
- Provider Enumeration Date: 08/18/2006
- Last Update Date: 04/10/2026
Medicare PECOS Information:
- PECOS PAC ID: 3779511019
- Enrollment ID: O20130408000465
Medical Identifiers
Medical identifiers for Tidewater Therapy For Children, Pc such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1316051287 | NPI | - | NPPES |
| 004979061 | Medicaid | VA | |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 2251P0200X | Physical Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 225XP0200X | Occupational Therapist - Pediatrics | (* (Not Available)) | Secondary |
| 235Z00000X | Speech-language Pathologist | (* (Not Available)) | Secondary |
| 252Y00000X | Early Intervention Provider Agency | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Tidewater Therapy For Children, Pc is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Tidewater Therapy For Children, Pc
4016 Raintree Rd, Suite 240,
Chesapeake, VA 23321-3700
Ph: (757) 488-2864 | Tidewater Therapy For Children, Pc
4016 Raintree Rd, Suite 240,
Chesapeake, VA 23321-3700
Ph: (757) 488-2864 |
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