NPIMap

Organization Active NPI

Tidalhealth Specialty Care, LLC

Doing business as TidalHealth Peninsula Orthopaedic Institute

  • Physical Therapist
  • Salisbury, MD
National Provider Identifier
1417888959
Registry record updated May 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TIDALHEALTH SPECIALTY CARE, LLC
Doing business as
TidalHealth Peninsula Orthopaedic Institute
Practice address
600 Glen Ave Ste 203
Salisbury, MD 21804-5263
Phone
(410) 341-9535
Fax
(410) 341-9536
NPI assigned
May 26, 2026
Organization subpart
Yes
Parent organization
TIDALHEALTH, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on May 26, 2026

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

Authorized official

Name
Jessica Oneill Allman
Title
Chief Administrative Officer
Phone
(410) 860-4506

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X

Addresses

Primary practice location

600 Glen Ave Ste 203
Salisbury, MD 21804-5263

Mailing address

1675 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 749-4154

Other names 1

  • TidalHealth Peninsula Orthopaedic Institute Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tidalhealth Specialty Care98 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

600 Glen Ave
Ste 203
Salisbury, MD 21804
Phone (410) 341-9535

NPI Registry JSON

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

{
    "created_epoch": "1779753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1779753600000",
    "number": "1417888959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1675 WOODBROOKE DR",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218048502",
            "telephone_number": "410-749-4154",
            "fax_number": "410-860-9583"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GLEN AVE STE 203",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045263",
            "telephone_number": "410-341-9535",
            "fax_number": "410-341-9536"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDALHEALTH SPECIALTY CARE, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TIDALHEALTH, INC.",
        "enumeration_date": "2026-05-26",
        "last_updated": "2026-05-26",
        "certification_date": "2026-05-26",
        "status": "A",
        "authorized_official_last_name": "ALLMAN",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "ONEILL",
        "authorized_official_title_or_position": "CHIEF ADMINISTRATIVE OFFICER",
        "authorized_official_telephone_number": "410-860-4506"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TidalHealth Peninsula Orthopaedic Institute",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 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.