Organization Active NPI

Bliss Pelvic Health

  • Orthopedic Physical Therapist
  • Wesley Chapel, FL
National Provider Identifier
1114532074
Registry record updated Mar 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
BLISS PELVIC HEALTH
Practice address
2640 Cypress Ridge Blvd Ste 103
Wesley Chapel, FL 33544-6318
Phone
(813) 993-4212
Fax
(813) 738-1562
NPI assigned
Sep 8, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2024

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

Authorized official

Name
Dwagne J Haskins, DPTNPI 1053820365
Title
Manager
Phone
(813) 993-4212

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
Orthopedic Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 2251X0800X Primary

Addresses

Primary practice location

2640 Cypress Ridge Blvd Ste 103
Wesley Chapel, FL 33544-6318

Mailing address

2640 Cypress Ridge Blvd Ste 103
Wesley Chapel, FL 33544-6318
Phone (813) 993-4212

National Provider Directory

National Provider Directory

Locations

4895 W Waters Ave
Tampa, FL 33634
Phone (813) 355-8877

29139 Chapel Park Dr
Wesley Chapel, FL 33543
Phone (813) 993-4212

2640 Cypress Ridge Blvd
Ste 103
Wesley Chapel, FL 33544
Phone (813) 993-4212

Practitioners & affiliated clinicians

Practitioners 3

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": "1599523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711497600000",
    "number": "1114532074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2640 CYPRESS RIDGE BLVD STE 103",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446318",
            "telephone_number": "813-993-4212"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2640 CYPRESS RIDGE BLVD STE 103",
            "city": "WESLEY CHAPEL",
            "state": "FL",
            "postal_code": "335446318",
            "telephone_number": "813-993-4212",
            "fax_number": "813-738-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS PELVIC HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-08",
        "last_updated": "2024-03-27",
        "certification_date": "2024-03-27",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "DWAGNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-993-4212",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wesley Chapel, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2024; 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.