Organization Active NPI

Ridge and Tide Physical Therapy

  • Physical Therapy Clinic/Center
  • Boone, NC
National Provider Identifier
1356249619
Registry record updated Oct 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
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, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2026

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.