Prestige Health & Performance

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

Legal business name

PRESTIGE HEALTH & PERFORMANCE

Practice address

20354 Chestnut Grove Dr
Tampa, FL 33647-3344

Phone

(404) 668-9560

NPI assigned

May 7, 2020

Organization subpart

No

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

Owner/Founder

Phone

(404) 668-9560

Specialties & licenses 1

Addresses

Other names 1

• Prestige Physical Therapy Doing business as

Electronic endpoints 1

Practitioners 1

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

• Dwagne Haskins, DPT

  • Physical Therapist
  • Tampa, FL
  • NPI 1053820365
  NPD Authorized official

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

{
    "created_epoch": "1588809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588809600000",
    "number": "1164044590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20354 CHESTNUT GROVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20354 CHESTNUT GROVE DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336473344",
            "telephone_number": "404-668-9560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRESTIGE HEALTH & PERFORMANCE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-07",
        "last_updated": "2020-05-07",
        "certification_date": "2020-05-07",
        "status": "A",
        "authorized_official_last_name": "HASKINS",
        "authorized_official_first_name": "DWAGNE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER/FOUNDER",
        "authorized_official_telephone_number": "404-668-9560",
        "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": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@goprestigept.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "20354 Chestnut Grove Dr",
            "city": "Tampa",
            "state": "FL",
            "country_code": "US",
            "postal_code": "336473344",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Prestige Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Prescribed Pediatric Extended Care Inc.
• Prescribed Pediatric Extended Care, Inc
• Rodney D Presley, LCSWC
• Elliot Pressman, MD
• Katherine Pressman, MD
• Prestige Home Healthcare of Tampa Bay, LLC
• Prestige Medical & Physical Therapy of Town N Country, LLC
• Prestigemed LLC
• Alexandra Rose Preston, MS, CCC-SLP
• Catharine Rita Preston, RN

• Orthopedic Physical Therapist in Tampa, FL
• Providers in Tampa, FL by specialty
• Orthopedic Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2020; 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.