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

Tidewatch Physical Therapy, LLC

Organization Physical Therapist · NPI 1992237598

Tidewatch Physical Therapy, LLC is a Physical Therapist in Shrewsbury, New Jersey. Licensed in New Jersey. Registered with an NPI since 2017.

Licensed in
NJ
In the registry since
2017
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

39 Avenue At The Cmn Ste 200A
Shrewsbury, NJ 07702-4587
Phone: (732) 204-7741
Show map & directions

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

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01328500 (NJ)

Record details

NPI number1992237598
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official John Blumberger — Managing Member · (732) 204-7741
NPI enumeratedApril 2, 2017
Last updated in NPPESJune 29, 2017
Mailing address39 Avenue At The Cmn Ste 200a, Shrewsbury, NJ 07702-4587

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