Tideline Sports Performance & Rehabilitation LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

TIDELINE SPORTS PERFORMANCE & REHABILITATION LLC

Practice address

5320 Lena Rd Unit 114
Bradenton, FL 34211-9438

Phone

(513) 460-8005

NPI assigned

Oct 23, 2020

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Sclafani, DPTNPI 1962828889

Title

Owner

Phone

(941) 218-0551

Specialties & licenses 1

Addresses

Electronic endpoints 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Michael Sclafani, DPT

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1962828889
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1603411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1621900800000",
    "number": "1255930855",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5320 LENA RD UNIT 114",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119438",
            "telephone_number": "513-460-8005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5320 LENA RD UNIT 114",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342119438",
            "telephone_number": "513-460-8005"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5261 Paylor Ln",
            "address_purpose": "LOCATION",
            "city": "Lakewood Ranch",
            "state": "FL",
            "postal_code": "342402203",
            "country_code": "US",
            "telephone_number": "941-961-3402",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "TIDELINE SPORTS PERFORMANCE & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-23",
        "last_updated": "2021-05-25",
        "certification_date": "2021-05-25",
        "status": "A",
        "authorized_official_last_name": "SCLAFANI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "941-218-0551",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@tidelinesportsperformance.com",
            "affiliation": "N",
            "endpointDescription": "Business Email",
            "address_1": "5261 Paylor Ln",
            "city": "Lakewood Ranch",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342402203",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "michael@tidelinesportsperformance.com",
            "affiliation": "N",
            "endpointDescription": "Business email",
            "address_1": "5320 Lena Rd Unit 114",
            "city": "Bradenton",
            "state": "FL",
            "country_code": "US",
            "postal_code": "342119438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelique Mignon Thornton, LMHC
• Cynthia L Thrasher, LCSW
• Daniel C Throneburg, N.B.C., H.I.S.
• Natasha Throop, COTA/L
• Jacqueline Heather Thurston, BSW
• Tidewater Physical Therapy Associates LLC
• Tidewell Home Health Services
• Denise A Tieku
• Rachel May Tierney, RN
• James A Tiesi, M.D.

• Physical Therapy Clinic/Center in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapy Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.