Now enrolling — 40 spots available

More healthy years.
Built on 100 years of real-world expertise.

Tidal Health is a personalized healthspan program combining functional medicine, physical therapy, and strength coaching — designed to help you understand exactly where your health stands today, and build a sustainable plan to improve it.

Tidal Health logo — a personalized path toward lifelong health
100+
Years combined clinical experience
PT screens per year with updated fitness plan
Q1
Functional medicine included, optional from Q2
40
Spots available in first cohort
Who this is for

You've watched someone close to you lose healthy years. You're determined not to.

You're 45–65, high-performing, and health-conscious — but you know your annual physical isn't telling you the full story.

A parent, sibling, or close friend has dealt with chronic illness, metabolic disease, or early cognitive decline — and you want a different trajectory.

You want to be physically present for your children and grandchildren — not just alive, but capable and strong.

You may be an endurance athlete, a CrossFit regular, or simply someone who values movement — and you want it to compound, not decline.

This program was designed around one question.

Not "are you sick?" but "what does your body need to stay healthy for the next 30 years?"

Most medicine waits for something to go wrong. Tidal Health starts with the science of what going right actually looks like — metabolically, physically, and structurally — and builds a plan from there.

We work with people in Greater Cincinnati, Northern Kentucky, and the Dayton–Columbus corridor who are ready to take that question seriously.

40 spots.

We're enrolling our first cohort. Initial enrollment is intentionally small so every participant gets the attention this program requires.

A different model

Proactive medicine looks nothing like what you're used to.

What reactive care looks like

Annual labs that flag problems only after they've already taken root.

A 15-minute appointment that can't cover your full history, your movement, or your metabolic picture.

Exercise "recommendations" without anyone who actually knows how your body moves today.

Fragmented providers who have never spoken to each other about your care.

A plan built on population averages, not your actual biomarkers, strength, and physiology.

What Tidal Health looks like

Full blood panels and biomarker analysis that look for root causes — not just reference-range flags.

A movement screen, VO₂ max, force plate, balance, and coordination data that tells you exactly where your physical health stands.

Physical therapists, functional medicine providers, and strength coaches who collaborate on your plan.

90 days of functional medicine included — not a one-time snapshot, but a working relationship long enough to move your numbers.

A 12-month physical health tracking arc that builds toward where you want to be, not where an average chart says you should be.

The program

Two timelines. One integrated plan.

Tidal Health addresses both the metabolic and the physical — because you can't build a lasting health trajectory by ignoring either one.

Quarter 1 — Included  ·  Quarters 2–4 — Optional

Metabolic & Functional Medicine

Functional medicine is included for your first quarter — enough time to assess, intervene, and move your numbers. Continued functional medicine care is available through Alyria Health's membership for participants who want to keep the relationship going.

  • Comprehensive blood panels and full biomarker analysis
  • Past medical, surgical, and family history review
  • Drug reconciliation and supplement review
  • Nervous system and hormonal health assessment
  • Root-cause interpretation — not just reference-range flags
  • 90-day metabolic health plan with your functional medicine provider
  • Option to continue with Alyria Health membership from Q2 onward
All 4 Quarters — 12 Months

Physical Health & Longevity Tracking

Every quarter: a physical therapy screen, updated findings, and a new fitness plan built around where you are — not where you were three months ago.

  • Movement screen and functional assessment
  • Force plate testing — power, balance, and coordination
  • VO₂ max and metabolic fitness testing
  • Personalized fitness plan updated every quarter based on your progress
  • Physical therapy screen every 90 days — movement, strength, and functional reassessment
  • Four quarters of accountability, adjustment, and forward momentum
  • Access to WAVE Physical Therapy + Driven Performance specialists
What we assess

The most predictive markers for healthy aging — all in one baseline.

Physical Performance

  • Movement screen — identifying compensation and restriction
  • VO₂ max — your cardiovascular fitness age
  • Force plate — power, balance, and landing mechanics
  • Grip strength and coordination testing
  • Metabolic rate and fuel utilization

Metabolic & Functional Health

  • Comprehensive blood chemistry — beyond standard panels
  • Inflammatory markers and cardiovascular risk factors
  • Hormonal and thyroid function
  • Metabolic efficiency and insulin sensitivity
  • Nutrient deficiencies and gut health indicators

Medical History & Risk Profile

  • Full medical, surgical, and family history review
  • Medication and supplement reconciliation
  • Nervous system regulation and stress markers
  • Sleep quality and recovery data
  • Identification of modifiable risk factors
The team behind Tidal Health

Not built around a diagnostic machine. Built around decades of clinical work.

Our providers have spent their careers at the intersection of movement, metabolism, and lifespan. This isn't a new idea for us — it's the work we've always done.

WAVE Physical Therapy + Pilates

Founded by Dr. Sarah Crawford, PT, DPT, COMT, CMTPT

WAVE is a root-cause-based, one-on-one physical therapy and Pilates practice founded on the belief that every patient deserves to understand the real source of their pain or dysfunction — not just a temporary fix. WAVE's senior physical therapists bring over 75 years of combined clinical experience to every patient interaction.

For Tidal Health, WAVE leads the physical performance assessment and 12-month movement and strength tracking — the structural foundation of your longevity plan.

75+ years combined PT experience Root-cause care VO₂ max & force plate testing Movement screening
Alyria Health
Visit Alyria →

Alyria Health

Founded by Erica Hull, PA — Functional Medicine Specialist

Erica Hull spent 5 years in emergency medicine before a clear pattern changed her direction: the patients coming through the ER were overwhelmingly dealing with conditions that proactive, root-cause care could have prevented. She pivoted to functional medicine and has spent the last 10+ years addressing chronic and metabolic health from the ground up.

Erica brings specialized expertise in nervous system regulation to Tidal Health — because metabolic optimization requires a stable foundation. As she puts it: you can't build a skyscraper on sand.

10+ years functional medicine Nervous system regulation 90-day metabolic partnership Former EM clinician

Driven Performance

Founded by Jason Adams — Strength & Conditioning Specialist

Driven Performance operates on a simple conviction: becoming your best requires dedication, commitment, and a coach who takes your foundation seriously. Founder Jason Adams has been building stronger, healthier people for nearly 15 years — helping clients feel better, move better, and perform better, with the structural integrity to keep doing so for decades.

For Tidal Health participants, Driven Performance delivers the strength and conditioning programming that translates your assessment findings into durable physical performance gains.

15 years strength coaching Personalized programming Performance optimization Foundation-first philosophy
How to get started

Four steps from discovery call to your personalized plan.

1

Book a discovery call

A brief conversation with our team to understand your health goals, current status, and what to expect from the program.

2

Complete your intake forms

Detailed health history, current medications, prior testing, family history, and lifestyle information — the context that makes your baseline meaningful.

3

Your baseline assessment

Movement screen, blood panels, VO₂ max, force plate, and full metabolic testing — a complete picture of where you actually stand today.

4

Receive your personalized plan

Your WAVE, Alyria Health, and Driven Performance team delivers an integrated plan — fitness, metabolic, and functional — built entirely around your findings.

Why this matters now

The science of healthy aging has changed. Most healthcare hasn't caught up.

Research on healthspan — the years of life spent in good health — has accelerated dramatically in the past decade. We now know that VO₂ max, grip strength, metabolic flexibility, lean muscle mass, and inflammatory markers are among the most powerful predictors of how well and how long you live. We know that these markers are modifiable. And we know that the window to move them most effectively is well before symptoms appear.

What hasn't changed is the model of care most people have access to. Annual physicals check that you're not acutely sick. They don't build a plan to add 10 healthy years.

Tidal Health was built specifically to close that gap — combining functional medicine blood work and metabolic analysis with physical therapy-level movement assessment and strength and conditioning programming that reflects the best evidence on what actually improves longevity.

This is the program Anchor Wellness Center, WAVE Physical Therapy + Pilates, Alyria Health, and Driven Performance have been building toward — bringing together expertise that has existed for decades in Cincinnati into a single, integrated path toward lifelong health.

Common questions
Is this covered by insurance?
Tidal Health is a private-pay program. The comprehensive, integrative nature of the program — and the level of provider time involved — is not compatible with insurance reimbursement models. Some HSA and FSA accounts may apply; confirm with your plan administrator.
How is this different from a longevity clinic?
Tidal Health isn't built around a one-day diagnostic event. It's a 12-month working relationship with providers who have spent their careers in physical rehabilitation, functional medicine, and strength coaching — not a snapshot from a lab, but a sustained plan from a team that knows how human bodies actually change.
Do I need to be in Cincinnati?
Initial assessments require in-person visits at Anchor Wellness Center in Cincinnati (Montgomery Rd, Kenwood). We serve clients throughout Greater Cincinnati, Northern Kentucky, and the Dayton–Columbus corridor.
What happens after the 90-day functional medicine phase?
Your first quarter of functional medicine is included in the Tidal Health program. From Q2 onward, participants who want to continue that relationship have the option to join Alyria Health's ongoing membership. Physical health tracking — quarterly PT screens and updated fitness plans through WAVE and Driven Performance — continues for all four quarters regardless.
I'm already pretty healthy. Is this still relevant?
Especially so. The best time to establish a health trajectory is before anything is wrong. Tidal Health is designed for people who are healthy enough to invest in staying that way — not for those already managing disease.
First cohort — 40 spots available

Ready to find out where your health actually stands?

Book a no-pressure discovery call with our team. We'll walk you through the program, answer your questions, and help you decide if Tidal Health is the right fit.

Book your discovery call