TIDAL CREEK PHYSICAL THERAPY, LLC
NPI 1598358954
Clinic/Center - Physical Therapy in Beaufort, SC
About Tidal Creek Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
TIDAL CREEK PHYSICAL THERAPY, LLC (NPI 1598358954) is a healthcare organization registered as a physical therapy in Beaufort, South Carolina and active in the NPI registry since February 2021. The organization lists Jeremy Cannon, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Group Practice 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Tidal Creek Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by January 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
4Medicare enrollment records show 4 clinicians reassign Medicare billing to Tidal Creek Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (4)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Tidal Creek Physical Therapy, LLC's NPI number?
The NPI number for Tidal Creek Physical Therapy, LLC is 1598358954. It was assigned to this organization in the NPPES registry on February 17, 2021.
Where is Tidal Creek Physical Therapy, LLC located?
Tidal Creek Physical Therapy, LLC is located at 95 Sea Island Pkwy Ste 103, Beaufort, SC 29907. The listed phone number is (803) 942-6412.
What is Tidal Creek Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Tidal Creek Physical Therapy, LLC enrolled in Medicare?
Yes. Tidal Creek Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
When is Tidal Creek Physical Therapy, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (South Carolina, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by January 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Tidal Creek Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Tidal Creek Physical Therapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Tidal Creek Physical Therapy, LLC accept?
Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of North Carolina, BlueCross BlueShield of South Carolina and Molina Healthcare list Tidal Creek Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Tidal Creek Physical Therapy, LLC was last updated on July 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Tidal Creek Physical Therapy, Llc · NPI 1598358954
Physical Therapy organization in Beaufort, South Carolina. Organization record, active in the CMS NPPES registry since February 17, 2021.
## Identity
- **NPI:** 1598358954 (Entity type: Organization)
- **Enumerated:** February 17, 2021
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Jeremy Cannon, OWNER
## Practice location
- **Address:** 95 SEA ISLAND PKWY STE 103, Beaufort, SC 29907-1499
- **Phone:** (803) 942-6412
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** January 31, 2027 (Non-DME Part B, South Carolina, Physical/Occupational Therapy Group in Private Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 4 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** July 9, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1598358954) · Data from the CMS NPPES public registry.