Tina M Cadden, PT

Individual provider Active NPI Physical Therapist · Virginia Beach, VA

NPI 1063552297 · NPPES record last updated Mar 18, 2022

Key facts

NPI
1063552297
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
2305004558 (VA)
Practice address
1745 Camelot Dr Ste 100
Virginia Beach, VA 23454-2435
Phone
(919) 258-2714
Fax
(410) 648-4878
NPI assigned
Feb 7, 2007
Sex
Female
Sole proprietor
No

Organizations & group practices 9

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Virginia Commonwealth University, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLC (225 clinicians)

Practice addresses (Care Compare)

1745 Camelot Dr
Suite 100
Virginia Beach, VA 23454-2435
Phone (757) 961-4800

Merit-based Incentive Payment System (MIPS)

Final score
88.16 of 100 (group)
Quality
85.78
Promoting interoperability
99
Improvement activities
40
Cost
75.6

Medicare participation

Medicare fee-for-service enrollment
Enrolled in VA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20041026000072 VA Practitioner - Physical Therapist in Private Practice 1052372703 Reassigns benefits to 2 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
2305004558VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tidewater Physical Therapy, LLC Physical Therapist Current
since Mar 28, 2022
Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist Current
since Mar 28, 2022
Accepting new patients
Proactive Therapy of Virginia Inc Past Accepting new patients
Walko Enterprise Incorporated Past
since Jan 1, 2015
Accepting new patients

Locations

350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919

10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210

12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210

1745 Camelot Dr
Ste 100
Virginia Beach, VA 23454
Phone (757) 496-2300

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305004558 VA Yes

Addresses

Primary practice location

1745 Camelot Dr Ste 100
Virginia Beach, VA 23454-2435

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

5665 Lowery Rd
#300
Norfolk, VA 23502-2245
Phone (757) 351-6020

Other providers in Virginia Beach, VA

All providers in Virginia Beach, VA · Physical Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.