Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TIDEWATER PHYSICAL THERAPY AND REHABILITATION ASSOCIATES, P.A.
Active
Organization
TIDEWATER PHYSICAL THERAPY AND REHABILITATION ASSOCIATES, P.A.
Active
Other names
Tidewater Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA BOOZE (FINANCE MANAGER)
(410) 822-4613
Entity
Organization
Contact information
Practice address
406 MARVEL CT, EASTON, MD 21601-4052
(410) 822-4613
(410) 822-6534
Mailing address
PO BOX 1564, EASTON, MD 21601-8932
(410) 822-4613
(410) 822-6534
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
225X00000X
Occupational Therapist
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0000220726
—
DE
05
—
435138000
—
MD
Enumeration date
10/24/2006
Last updated
08/14/2012
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up