Pelvic Soul LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

PELVIC SOUL LLC

Practice address

412 E Madison St Ste 1215
Tampa, FL 33602-4619

Phone

(716) 445-1921

NPI assigned

Sep 13, 2024

Organization subpart

No

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

Authorized official

Name

Nathaniel William Martin

Title

Member

Phone

(716) 352-4064

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1726185600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726185600000",
    "number": "1760218903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15012 REDCLIFF DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336251957",
            "telephone_number": "716-352-4064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 E MADISON ST STE 1215",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336024619",
            "telephone_number": "716-445-1921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PELVIC SOUL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-13",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "NATHANIEL",
        "authorized_official_middle_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "716-352-4064"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Hughes Pelton, RPH,MS
• Ashton Peltz, PSY.D.
• Pelvic Floor Institute LLC
• Pelvic Rehabilitation of Tampa LLC
• Pelvic Solutions, PLLC
• Lesbia M Pena Calas
• Maricela Pena Jimenez, RBT
• Yamileydi Pena Marey
• Pena-Samper Medical Associates, Inc
• Alissa Pena

• Clinic/Center in Tampa, FL
• Providers in Tampa, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.