Tidewater Rehabilitation Medicine
NPI 1891113155 · Pain Medicine (Physical Medicine & Rehabilitation) Physician · Virginia Beach, VA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidewater Rehabilitation Medicine is a Pain Medicine (Physical Medicine & Rehabilitation) Physician organization in Virginia Beach, VA (NPI 1891113155).
Provider details
- NPI number
- 1891113155
- Entity type
- Organization
- Primary specialty
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Stephen Kayota, Sole Owner/Authorize Official(757) 496-2325
- License
- 0101053621 (VA)
Specialties & taxonomies
- Pain Medicine (Physical Medicine & Rehabilitation) PhysicianPrimary2081P2900XLicense 0101053621 (VA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2014-04-03
- Last updated
- 2015-04-25
Frequently asked questions
- What is Tidewater Rehabilitation Medicine's NPI number?
- Tidewater Rehabilitation Medicine's National Provider Identifier (NPI) is 1891113155, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidewater Rehabilitation Medicine?
- Tidewater Rehabilitation Medicine is classified in the NPPES registry as Pain Medicine (Physical Medicine & Rehabilitation) Physician (Allopathic & Osteopathic Physicians).
- Where is Tidewater Rehabilitation Medicine located?
- Tidewater Rehabilitation Medicine's practice location on file with NPPES is 1120 First Colonial Rd, Virginia Beach, VA 23454-2418.
- What is Tidewater Rehabilitation Medicine's phone number?
- The practice phone number listed in the NPPES registry for Tidewater Rehabilitation Medicine is (757) 496-2325.
- Does Tidewater Rehabilitation Medicine accept Medicare?
- Tidewater Rehabilitation Medicine is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidewater Rehabilitation Medicine?
- The authorized official listed on Tidewater Rehabilitation Medicine's NPPES record is Stephen Kayota, Sole Owner/Authorize Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidewater Rehabilitation Medicine's NPI active?
- Yes — Tidewater Rehabilitation Medicine's NPI (1891113155) is active in the NPPES registry as of the last update on 2015-04-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.