Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Blue Tide Pediatric Therapy LLC

Clinic/Center in Destin, FL · enumerated 2022 · authorized official Garrett Outland, Owner/Speech-Language Pathologist.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1114654431

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Blue Tide Pediatric Therapy LLC

Other name <Unavail>

Practice address 4641 Gulfstarr Dr Ste 102, Destin, FL, 32541

Phone (850) 964-6162

Fax (850) 848-6643

Enumeration date Aug 5, 2022

Last updated in NPPES Jan 13, 2025

Taxonomy & classification

2084P0800X Psychiatry Physician Allopathic & Osteopathic Physicians Secondary

225700000X Massage Therapist Respiratory, Developmental, Rehabilitative and Restorative Service Providers Secondary

235Z00000X Speech-Language Pathologist Speech, Language and Hearing Service Providers Secondary

261Q00000X Clinic/Center Ambulatory Health Care Facilities Primary

Authorized official

Name Garrett Outland

Title Owner/Speech-Language Pathologist

Phone (850) 964-6162

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-01-13. Verify at npiregistry.cms.hhs.gov.

Where is Blue Tide Pediatric Therapy LLC located?

The practice location on file with NPPES is in Destin, FL.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-01-13.