TIDAL RIVER PELVIC HEALTH LLC
NPI 1912706722
Clinic/Center in Woolwich, ME

Active since March 12, 2025
963 MIDDLE RD, WOOLWICH, ME 04579(207) 798-9770 Get Directions Write a Review

NPPES record last updated: March 12, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Tidal River Pelvic Health Llc NPPES

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

TIDAL RIVER PELVIC HEALTH LLC (NPI 1912706722) is a healthcare organization registered as a clinic/center in Woolwich, Maine and active in the NPI registry since March 2025. The organization lists Janet E Eich, Owner, as its authorized official.

NPPES Registry Identity

NPI1912706722
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameTIDAL RIVER PELVIC HEALTH LLC
Location Address963 MIDDLE RDWoolwich, ME 04579-4303
Mailing Address963 Middle RdWoolwich, ME 04579-4303 · (207) 798-9770
Organization SubpartNo
Authorized OfficialJanet E EichOwner · (207) 798-9770
Enumeration DateMarch 12, 2025
NPPES CertifiedMarch 12, 2025
✔ NPI 1912706722 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
963 MIDDLE RD, Woolwich, ME 04579

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tidal River Pelvic Health Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Tidal River Pelvic Health LLC, which bills Medicare for the services this clinician delivers.

Clinician (1)

Occupational Therapist in Private Practice
NPI 1699467753
15 STRAWBERRY AVE
Lewiston, ME 04240
(207) 777-7748
✔ Accepts Medicare23 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 River Pelvic Health LLC's NPI number?

The NPI number for Tidal River Pelvic Health LLC is 1912706722. It was assigned to this organization in the NPPES registry on March 12, 2025.

Where is Tidal River Pelvic Health LLC located?

Tidal River Pelvic Health LLC is located at 963 Middle Rd, Woolwich, ME 04579. The listed phone number is (207) 798-9770.

What is Tidal River Pelvic Health LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Is Tidal River Pelvic Health LLC enrolled in Medicare?

Yes. Tidal River Pelvic Health LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tidal River Pelvic Health LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Occupational Therapist in Private Practice) reassigns their Medicare billing to Tidal River Pelvic Health LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tidal River Pelvic Health LLC was last updated on March 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 months 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.