Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

High Tide Pediactric Therapy LLC

Organization Physical Therapist · NPI 1902670789

High Tide Pediactric Therapy LLC is a Physical Therapist in Awendaw, South Carolina. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3909 Sawmill Ct
Awendaw, SC 29429-5704
Phone: (814) 282-7499
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Occupational Therapist Taxonomy 225X00000X

Record details

NPI number1902670789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Ceremuga — Physical Therapist · (814) 282-7499
NPI enumeratedNovember 13, 2023
Last updated in NPPESJanuary 19, 2026
Certification dateJanuary 19, 2026
Mailing address3909 Sawmill Ct, Awendaw, SC 29429-5704

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