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

Tidal Creek Physical Therapy, LLC

Organization Physical Medicine & Rehabilitation Physician · NPI 1598358954

Tidal Creek Physical Therapy, LLC is a Physical Medicine & Rehabilitation Physician in Beaufort, South Carolina. Registered with an NPI since 2021.

In the registry since
2021
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

95 Sea Island Pkwy Ste 103
Beaufort, SC 29907-1499
Phone: (803) 942-6412
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Clinic/Center (primary) Taxonomy 261QP2000X
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X

Record details

NPI number1598358954
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jeremy Cannon — Owner · (843) 379-3991
NPI enumeratedFebruary 17, 2021
Last updated in NPPESJuly 9, 2024
Certification dateJuly 9, 2024
Mailing address95 Sea Island Pkwy Ste 103, Beaufort, SC 29907-1499

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