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

Tidewater Physical Therapy Associates LLC

Organization Physical Therapist · NPI 1972188696

Tidewater Physical Therapy Associates LLC is a Physical Therapist in Bradenton, Florida. 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

6009 Amberly Dr
Bradenton, FL 34208-4545
Phone: (215) 962-9557
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Orthopedic Physical Therapist Taxonomy 2251X0800X

Record details

NPI number1972188696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Frank Fedorczyk — Owner · (215) 962-9557
Other names Tidewater Physical Therapy Associates Llc
NPI enumeratedMarch 15, 2021
Last updated in NPPESMarch 15, 2021
Certification dateMarch 15, 2021
Mailing address6009 Amberly Dr, Bradenton, FL 34208-4545

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