Active NPI
Ridge and Tide Physical Therapy
- Physical Therapy Clinic/Center
- Boone, NC
National Provider Identifier
1356249619
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- RIDGE AND TIDE PHYSICAL THERAPY
- Practice address
- 719 Greenway Rd Ste 209
Boone, NC 28607-3119 - Phone
- (828) 459-6397
- NPI assigned
- Oct 27, 2026
- Last updated
- Oct 27, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Brandi Bratsafolis, PT
- Title
- Owner
- Phone
- (808) 278-2080
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
719 Greenway Rd Ste 209
Boone, NC 28607-3119
Mailing address
5142 Fernwood Dr
Southport, NC 28461-3137
Phone (808) 278-2080
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1793059200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1793059200000",
"number": "1356249619",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5142 FERNWOOD DR",
"city": "SOUTHPORT",
"state": "NC",
"postal_code": "284613137",
"telephone_number": "808-278-2080"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "719 GREENWAY RD STE 209",
"city": "BOONE",
"state": "NC",
"postal_code": "286073119",
"telephone_number": "828-459-6397"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIDGE AND TIDE PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-27",
"last_updated": "2026-10-27",
"certification_date": "2026-10-27",
"status": "A",
"authorized_official_last_name": "BRATSAFOLIS",
"authorized_official_first_name": "BRANDI",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "808-278-2080",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Boone, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.