Tidewater Physical Therapy, Llc in Garner - Physical Therapist
Tidewater Physical Therapy, Llc - NPI 1508885948
Tidewater Physical Therapy, Llc is a Physical Therapist in Garner, North Carolina. Tidewater Physical Therapy, Llc practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Tidewater Physical Therapy, Llc is 1508885948. The last update date is 2020-05-05.
Tidewater Physical Therapy, Llc's current location address is 350 New Fidelity Ct, Garner, North Carolina. You can contact this provider via phone number 9192582714 and fax number 4106484878. The mailing address for Tidewater Physical Therapy, Llc is 350 New Fidelity Ct, Garner, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tidewater Physical Therapy, Llc |
|---|---|
| Address | 350 New Fidelity Ct, Garner, North Carolina |
| Phone Number | 9192582714 |
| Fax Number | 4106484878 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | RCM DIRECT |
|---|---|
| Authorized Official Name | Pearson Penny |
| Telephone Number | 4432254492 |
NPI Number Detail
| NPI Number | 1508885948 |
|---|---|
| Provider Enumeration Date | 2006-07-18 |
| Last Updated Date | 2020-05-05 |
Provider Mailing Address Detail
| Address | 350 New Fidelity Ct |
|---|---|
| City | Garner |
| State | North Carolina (NC) |
| Post Code | 275292665 |
| Phone Number | 9192582714 |
| Fax Number | 4106484878 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
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Definition: 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 per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 192971 | VA | BCBS (PT) |
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What is the Tidewater Physical Therapy, Llc's unique identification number?
The Tidewater Physical Therapy, Llc has been assigned the NPI (National Provider Identifier) Number 1508885948 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Tidewater Physical Therapy, Llc located?
The Tidewater Physical Therapy, Llc is located at 350 New Fidelity Ct, Garner, NC 275292665.
What is Tidewater Physical Therapy, Llc's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Tidewater Physical Therapy, Llc is Physical Therapist, and the taxonomy classification code that categorizes this area of expertise is 225100000X.
On what date did Tidewater Physical Therapy, Llc receive its 1508885948 assignment from the Centers for Medicare & Medicaid Services?
The Tidewater Physical Therapy, Llc was assigned its 1508885948 on 2006-07-18, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Tidewater Physical Therapy, Llc most recently updated or refreshed?
The details pertaining to the Tidewater Physical Therapy, Llc, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-05-05.