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TIDAL WELLNESS LLC
NPI 1679247571
Physical Therapist - Orthopedic in Southport, ME

Active since August 04, 2021
14 LOUIS LN., SOUTHPORT, ME 04576(513) 739-2422 Get Directions Write a Review

NPPES record last updated: August 4, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Tidal Wellness Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TIDAL WELLNESS LLC (NPI 1679247571) is a healthcare organization registered as an orthopedic in Southport, Maine and active in the NPI registry since August 2021. The organization lists Eden Climo, Ceo, Physical Therapist, as its authorized official.

NPPES Registry Identity

NPI1679247571
Entity TypeOrganization
Primary Taxonomy2251X0800X
Legal Business NameTIDAL WELLNESS LLC
Location Address14 LOUIS LN.Southport, ME 04576
Mailing AddressPo Box 395Southport, ME 04576-0395 · (513) 739-2422
Phone(513) 739-2422
Organization SubpartNo
Authorized OfficialEden ClimoCeo, Physical Therapist · (513) 739-2422
Enumeration DateAugust 4, 2021
NPPES CertifiedJuly 10, 2021
✔ NPI 1679247571 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical Therapist · OrthopedicRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code2251X0800X
Definition
A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based practice.
14 LOUIS LN., Southport, ME 04576
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tidal Wellness LLC's NPI number?

The NPI number for Tidal Wellness LLC is 1679247571. It was assigned to this organization in the NPPES registry on August 4, 2021.

Where is Tidal Wellness LLC located?

Tidal Wellness LLC is located at 14 Louis Ln., Southport, ME 04576. The listed phone number is (513) 739-2422.

What is Tidal Wellness LLC's specialty?

The primary specialty registered for this NPI is Physical Therapist, specializing in Orthopedic, with taxonomy code 2251X0800X.

When was this NPI record last updated?

The NPPES record for Tidal Wellness LLC was last updated on August 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.