Clinic/Center
BLUE TIDE PEDIATRIC THERAPY LLC
Identity confirmed via CMS NPPES · September 30, 2026 · A directory match is not a coverage approval.
Is this your practice? This listing was imported from public provider identity data (CMS NPPES) and has not yet been claimed. Claim this listing to confirm the practice details. Plan acceptance stays unpublished until the practice reports it.
Public record
NPI 1114654431 · enumerated 2022-08-05 · record updated 2025-01-13. Source: CMS NPPES. A listing is not a TRICARE network approval.
NPPES recordGoogle Maps Apple Maps OpenStreetMap
Authorized official: GARRETT OUTLAND MA, CCC-SLP, Owner/Speech-Language Pathologist · (850) 964-6162
Other names: BLUE TIDE THERAPY
Addresses and phones
- Practice location 4641 GULFSTARR DR STE 102, DESTIN, FL, 32541-3776 (850) 964-6162 Fax (850) 848-6643 Google Maps Apple Maps OpenStreetMap
- Mailing address 4641 GULFSTARR DR STE 102, DESTIN, FL, 32541-3776 Google Maps Apple Maps OpenStreetMap
Specialties
- Psychiatry & Neurology, Psychiatry 2084P0800X
- Massage Therapist 225700000X
- Speech-Language Pathologist, 235Z00000X
- Clinic/Center 261Q00000X · Primary
Published links
In this directory
Locations and evidence
-
Practice location
DESTIN, FL, 325413776
Accepting new patientsNot reportedCMS NPPES · September 30, 2026
Plan acceptance
- No published plan acceptance yet. Confirm directly with the practice, or claim this listing if it's yours.