TIDEWAY PHYSICAL THERAPY
NPI 1720028459
Clinic/Center - Physical Therapy in Galveston, TX

Active since June 08, 2006
6444 CENTRAL CITY BLVD, GALVESTON, TX 77551(409) 741-8472(409) 741-2342 Get Directions Write a Review

NPPES record last updated: September 10, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 10, 2021, Jul 30, 2020, Aug 29, 2019 and 1 more (4 updates tracked since 2018).

About Tideway Physical Therapy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDEWAY PHYSICAL THERAPY (NPI 1720028459) is a healthcare organization registered as a physical therapy in Galveston, Texas and active in the NPI registry since June 2006. The organization lists Kendall Gill, Owner, as its authorized official.

NPPES Registry Identity

NPI1720028459
Entity TypeOrganization
Primary Taxonomy261QP2000X
Legal Business NameFIRST COLONY REHAB, LLC
Location Address6444 CENTRAL CITY BLVDGalveston, TX 77551-2058
Mailing AddressPo Box 3106Galveston, TX 77552-0106 · (409) 741-8472 · Fax (409) 741-2342
Fax(409) 741-2342
Organization SubpartNo
Authorized OfficialKendall GillOwner · (817) 929-1420
Enumeration DateJune 8, 2006
Last NPPES UpdateSeptember 10, 20214 updates tracked since enumeration
NPPES CertifiedAugust 26, 2021
✔ NPI 1720028459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Physical TherapyAmbulatory Health Care Facilities
Taxonomy Code261QP2000X
Definition
An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance.
6444 CENTRAL CITY BLVD, Galveston, TX 77551

Other Names 1

Doing Business AsTideway Physical Therapy

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)

Tideway Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

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.

StateEnrollment IDDue date
StateTexasEnrollment IDO20090714000715Non-DME Part B · Physical/Occupational Therapy Group in Private PracticeDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Tideway Physical Therapy, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.

Clinicians, nearest first (4)

Physical Therapist in Private Practice
NPI 1235053075
1021 61ST ST STE 100B
Galveston, TX 77551
(409) 741-8472
✔ Accepts Medicare1.5 mi
Physical Therapist in Private Practice
NPI 1073963641
1021 61ST ST
Galveston, TX 77551
(409) 741-8472
✔ Accepts Medicare1.5 mi
Physical Therapist in Private Practice
NPI 1144053182
1021 61ST ST STE 100B
Galveston, TX 77551
(409) 741-8472
✔ Accepts Medicare1.5 mi
Physical Therapist in Private Practice
NPI 1003258989
1021 61ST ST STE 100B
Galveston, TX 77551
(409) 741-8472
✔ Accepts Medicare1.5 mi

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 First Colony Rehab, LLC's NPI number?

The NPI number for First Colony Rehab, LLC is 1720028459. It was assigned to this organization in the NPPES registry on June 8, 2006. The provider is doing business as Tideway Physical Therapy.

Where is First Colony Rehab, LLC located?

First Colony Rehab, LLC is located at 6444 Central City Blvd, Galveston, TX 77551. The listed phone number is (409) 741-8472.

What is First Colony Rehab, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.

Is First Colony Rehab, LLC enrolled in Medicare?

Yes. First Colony Rehab, LLC is registered in the Medicare PECOS enrollment system.

When is First Colony Rehab, 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 (Texas, Physical/Occupational Therapy Group in Private Practice) is due for revalidation by December 31, 2026. 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 First Colony Rehab, 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 First Colony Rehab, 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, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does First Colony Rehab, LLC accept?

Health plans from Cigna Healthcare list First Colony Rehab, 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 First Colony Rehab, LLC was last updated on September 10, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.