Blue Tide Pediatric Therapy LLC
NPI 1114654431 · Clinic/Center · Destin, FL
Provider details
- NPI number
- 1114654431
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Garrett Outland, Owner/Speech-Language Pathologist(850) 964-6162
Specialties & taxonomies
Ambulatory Health Care Facilities
- Psychiatry Physician2084P0800X
Allopathic & Osteopathic Physicians
- Massage Therapist225700000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Speech-Language Pathologist235Z00000X
Speech, Language and Hearing Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Doing business as
- Blue Tide Therapy
- Doing business as
- Blue Tide Therapy
Registry dates
- Enumerated
- 2022-08-05
- Last updated
- 2025-01-13
- Certified
- 2025-01-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.