Organization Active NPI

Tidal Physical Therapy and Wellness, PLLC

  • Physical Therapy Clinic/Center
  • Dedham, MA
National Provider Identifier
1215726344
Registry record updated Feb 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TIDAL PHYSICAL THERAPY AND WELLNESS, PLLC
Practice address
714 Washington St
Dedham, MA 02026-4427
Phone
(401) 216-7477
NPI assigned
May 5, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Julianne Beck, PT, DPT, OCSNPI 1760096531
Title
Owner
Phone
(203) 273-3294

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

714 Washington St
Dedham, MA 02026-4427

Mailing address

9 Nancy Rd
Milton, MA 02186-4623
Phone (203) 273-3294

National Provider Directory

National Provider Directory

Locations

88 Bridge St
Dedham, MA 02026
Phone (401) 216-7477

714 Washington St
Dedham, MA 02026
Phone (401) 216-7477

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1771804800000",
    "number": "1215726344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 NANCY RD",
            "city": "MILTON",
            "state": "MA",
            "postal_code": "021864623",
            "telephone_number": "203-273-3294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "714 WASHINGTON ST",
            "city": "DEDHAM",
            "state": "MA",
            "postal_code": "020264427",
            "telephone_number": "401-216-7477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIDAL PHYSICAL THERAPY AND WELLNESS, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2026-02-23",
        "certification_date": "2026-02-23",
        "status": "A",
        "authorized_official_last_name": "BECK",
        "authorized_official_first_name": "JULIANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-273-3294",
        "authorized_official_credential": "PT, DPT, OCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dedham, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.