Healthcare Provider Details

I. General information

NPI: 1932029949
Provider Name (Legal Business Name): CAPE COD PT BY THE SEA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13 CYPRUS RD
SOUTH DENNIS MA
02660-3019
US

IV. Provider business mailing address

13 CYPRUS RD
SOUTH DENNIS MA
02660-3019
US

V. Phone/Fax

Practice location:
  • Phone: 732-895-2036
  • Fax: 732-895-2036
Mailing address:
  • Phone: 732-895-2036
  • Fax: 732-895-2036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTINA TILTON CHRISTINA TILTON
Title or Position: OWNER
Credential: DPT, OCS
Phone: 732-895-2036