Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidal Wellness LLC

Organization Orthopedic Physical Therapist · NPI 1679247571

Tidal Wellness LLC is an Orthopedic Physical Therapist in Southport, Maine. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

14 Louis Ln
Southport, ME 04576
Phone: (513) 739-2422
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Orthopedic Physical Therapist (primary) Taxonomy 2251X0800X

Record details

NPI number1679247571
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Eden Climo — Ceo, Physical Therapist · (513) 739-2422
NPI enumeratedAugust 4, 2021
Last updated in NPPESAugust 4, 2021
Certification dateJuly 10, 2021
Mailing addressPo Box 395, Southport, ME 04576-0395