NPPES file of Aug 9, 2026

Tidewater Physical Therapy, LLC in Glen Allen, VA

This location of Tidewater Physical Therapy bills under NPI 1457389595, an organization record issued on Jun 29, 2006 with the primary taxonomy Physical Therapist. It is one of 53 NPIs registered under this name and one of 3 in Glen Allen; each clinician who sees you there has their own NPI and license.

CMS NPPES registry, file of Aug 9, 2026 · method · Verify with CMS →

Organization recordNPPES, Aug 2026
1457389595
Legal name
Tidewater Physical Therapy, LLC
Entity
Type 2 · organization
Primary taxonomy
Physical Therapist 225100000X
Practice location
10128 W BROAD ST BLDG III, Glen Allen, VA 23060
Phone
804-217-9210
Mailing address
Oak Brook, IL
Enumerated
Jun 29, 2006
Record updated
Nov 19, 2024
Authorized official
Manager, Credentialing (title as filed)
Public record from the NPPES NPI Registry (open it on CMS). An NPI identifies who bills; it is not a facility license.

The other 2 Glen Allen NPIs

  1. Tidewater Physical Therapy LLC9980 BROOK RD UNIT 16 · issued Jul 12, 20061386679595
  2. Tidewater Physical Therapy, LLC10128 W BROAD ST FORUM BUILDING III, SUITE K · issued Jul 12, 20061477588986

20 clinicians CMS lists with Tidewater Physical Therapy in Glen Allen

  1. Amanda Alling, DPTPhysical Therapist1700197787
  2. Dharanisri Atluri, DPTPhysical Therapist1447130042
  3. Stephen Bailey, PT, DPT, CMTPT, FMSCPhysical Therapist1679817928
  4. Bruce Brewer, PT, MSPT, CMTPTPhysical Therapist1780765925
  5. Peter Chang, DPTPhysical Therapist1750694899
  6. Lauren ConnersPhysical Therapist1528683968
  7. Brittany Deuso, PT, DPTPhysical Therapist1952656944
  8. Erika Dobbins-Clements, PT, DPTPhysical Therapist1336444199
  9. Teri Draper, PT, DPTPhysical Therapist1992221816
  10. Nikisha Gandhi, PTPhysical Therapist1629317201
  11. Sue Hunter, MS, ED, CCC-SLPSpeech-Language Pathologist1790013662
  12. Julia Manchester, DPTPhysical Therapist1952175242
  13. Diane Mccann, PT, DPT, CSCSPhysical Therapist1639328560
  14. Jessica Myers, DPT, MPH, CSCS,CMTPTPhysical Therapist1326001546
  15. Christopher O'Sullivan, PT, DPTPhysical Therapist1437928280
  16. Naomi Pinsker, PT, DPTPhysical Therapist1699154484
  17. Tami Pohnert, PTPhysical Therapist1730126699
  18. Melissa Ryman, PT, DPT, ATCPhysical Therapist1396762175
  19. John Scalici, PTPhysical Therapist1376571190
  20. Thomas Stites, PT, DMT, FAAOMPTPhysical Therapist1982612636

Source: CMS Doctors and Clinicians group affiliations, matched by practice name and city.

All 53 Tidewater Physical Therapy NPIs

Every location registered under this name, in 30 cities.

See every location

Checking an organization

  1. Confirm the business with the Virginia secretary of state.
  2. Check the HHS-OIG exclusion list for the organization.
  3. Verify each clinician on their own record and the state license search.

All taxonomies on this record

  • 225100000X Physical Therapist
  • 225X00000X Occupational Therapist
  • 235Z00000X Speech-Language Pathologist
  • 261Q00000X Clinic/Center

Common questions

Why is the mailing address in Illinois?

The mailing address in the record (Oak Brook, IL) is where the organization receives mail. Care is given at the practice location in Glen Allen.

Is an organization NPI a license?

No. An NPI identifies who bills. Facilities and the clinicians who work there are licensed separately by the state.

Which Glen Allen NPI should I use?

Ask the office which NPI it bills under; all 3 Glen Allen NPIs are registered under the same name.

Source: CMS National Plan and Provider Enumeration System (NPPES), monthly file of Aug 9, 2026 (NPPES files on CMS.gov). An NPI identifies who bills; it is not a license.