High Tide Pediactric Therapy LLC
NPI 1902670789 · Physical Therapist · Awendaw, SC
High Tide Pediactric Therapy LLC is a Physical Therapist organization in Awendaw, SC (NPI 1902670789).
Provider details
- NPI number
- 1902670789
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Jessica Ceremuga, Physical Therapist(814) 282-7499
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Occupational Therapist225X00000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 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
- 2023-11-13
- Last updated
- 2026-01-19
- Certified
- 2026-01-19
Frequently asked questions
- What is High Tide Pediactric Therapy LLC's NPI number?
- High Tide Pediactric Therapy LLC's National Provider Identifier (NPI) is 1902670789, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is High Tide Pediactric Therapy LLC?
- High Tide Pediactric Therapy LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is High Tide Pediactric Therapy LLC located?
- High Tide Pediactric Therapy LLC's practice location on file with NPPES is 3909 Sawmill Ct, Awendaw, SC 29429-5704.
- What is High Tide Pediactric Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for High Tide Pediactric Therapy LLC is (814) 282-7499.
- Who is the authorized official for High Tide Pediactric Therapy LLC?
- The authorized official listed on High Tide Pediactric Therapy LLC's NPPES record is Jessica Ceremuga, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is High Tide Pediactric Therapy LLC's NPI active?
- Yes — High Tide Pediactric Therapy LLC's NPI (1902670789) is active in the NPPES registry as of the last update on 2026-01-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.