Rising Tide Physical Therapy LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

RISING TIDE PHYSICAL THERAPY LLC

Practice address

308 53Rd Ave E Ste B
Bradenton, FL 34203-4706

Phone

(941) 739-0019

NPI assigned

Aug 26, 2021

Last updated

Aug 26, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ken Tribit, MS, PT

Title

MGMR

Phone

(941) 706-1230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1629936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629936000000",
    "number": "1902573942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 LAUREL RD E",
            "city": "NOKOMIS",
            "state": "FL",
            "postal_code": "342755233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 53RD AVE E STE B",
            "city": "BRADENTON",
            "state": "FL",
            "postal_code": "342034706",
            "telephone_number": "941-739-0019"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RISING TIDE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-26",
        "last_updated": "2021-08-26",
        "certification_date": "2021-08-26",
        "status": "A",
        "authorized_official_last_name": "TRIBIT",
        "authorized_official_first_name": "KEN",
        "authorized_official_title_or_position": "MGMR",
        "authorized_official_telephone_number": "941-706-1230",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Autumn L Riley
• Kristen F Riley, MPA
• Elizabeth Marie Rios
• Steven Todd Rippy, M.D.
• Thomas Rishling, M.D.
• Kirsten Lynne Ritchie, D.O.
• Ryan Cameron Ritchie, PHARM.D.
• Edgar Alejandro Rivadeneyra Arzola, DC
• Adalis Rivera Carrion, MD
• Iliannette Rivera Colon, DC

• Physical Therapist in Bradenton, FL
• Providers in Bradenton, FL by specialty
• Physical Therapist in Florida

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