Tidal Creek Physical Therapy, LLC
NPI 1598358954 · Physical Therapy Clinic/Center · Beaufort, SC
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidal Creek Physical Therapy, LLC is a Physical Therapy Clinic/Center organization in Beaufort, SC (NPI 1598358954).
Provider details
- NPI number
- 1598358954
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jeremy Cannon, Owner(843) 379-3991
Specialties & taxonomies
Ambulatory Health Care Facilities
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
- 2021-02-17
- Last updated
- 2024-07-09
- Certified
- 2024-07-09
Frequently asked questions
- What is Tidal Creek Physical Therapy, LLC's NPI number?
- Tidal Creek Physical Therapy, LLC's National Provider Identifier (NPI) is 1598358954, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidal Creek Physical Therapy, LLC?
- Tidal Creek Physical Therapy, LLC is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tidal Creek Physical Therapy, LLC located?
- Tidal Creek Physical Therapy, LLC's practice location on file with NPPES is 95 Sea Island Pkwy Ste 103, Beaufort, SC 29907-1499.
- What is Tidal Creek Physical Therapy, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tidal Creek Physical Therapy, LLC is (803) 942-6412.
- Does Tidal Creek Physical Therapy, LLC accept Medicare?
- Tidal Creek Physical Therapy, LLC 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 Tidal Creek Physical Therapy, LLC?
- The authorized official listed on Tidal Creek Physical Therapy, LLC's NPPES record is Jeremy Cannon, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidal Creek Physical Therapy, LLC's NPI active?
- Yes — Tidal Creek Physical Therapy, LLC's NPI (1598358954) is active in the NPPES registry as of the last update on 2024-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.