Individual provider Active NPI

Timna Gorde, PT, DPT

  • Physical Therapist
  • Richmond, VA
National Provider Identifier
1194418038
Registry record updated Mar 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305216349 Issued in VA
Practice address
3100 W Marshall St
Richmond, VA 23230-4706
Phone
(804) 342-5857
Fax
(804) 355-0408
NPI assigned
May 26, 2023
Last updated
Mar 12, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 2305216349 VA Primary
Physical Therapist 225100000X PT031254 PA

Addresses

Primary practice location

3100 W Marshall St
Richmond, VA 23230-4706

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (630) 575-6200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, VA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230818000040 PA Practitioner - Physical Therapist in Private Practice 7618339995 Reassigns benefits to 1 organization
I20240627000412 VA Practitioner - Physical Therapist in Private Practice 7618339995 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tidewater Physical Therapy LLCGroup PAC ID 6406759281, 225 clinicians

Practice addresses (Care Compare)

3100 W Marshall St
Richmond, VA 23230-4706
Phone (804) 342-5857

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT031254PAMDPhysical Therapist
2305216349VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Everest Rehabilitation Services LLC CurrentSince Jun 28, 2023 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients
Tidewater Physical Therapy, LLC Physical Therapist CurrentSince Jun 24, 2024 Accepting new patients

Locations

2122 York Rd
Ste 300
Oak Brook, IL 60523
Phone (630) 575-6250

2600 W 9th St
Unit E3
Chester, PA 19013
Phone (267) 631-2600

6786 Market St
Ste 103
Upper Darby, PA 19082
Phone (484) 462-7013

6787 Market St
Ste 103
Upper Darby, PA 19082
Phone (484) 462-7013

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

3100 W Marshall St
Richmond, VA 23230
Phone (804) 342-5857

Organizations & group practices 3

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685059200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773273600000",
    "number": "1194418038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "630-575-6200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 W MARSHALL ST",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232304706",
            "telephone_number": "804-342-5857",
            "fax_number": "804-355-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GORDE",
        "first_name": "TIMNA",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-26",
        "last_updated": "2026-03-12",
        "certification_date": "2026-03-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305216349",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT031254",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Richmond, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.