Organization Active NPI

Authentic Pelvic Health LLC

  • Physical Therapy Clinic/Center
  • St Petersburg, FL
National Provider Identifier
1821827999
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
AUTHENTIC PELVIC HEALTH LLC
Practice address
3430 Fairfield Ave S Unit a
St Petersburg, FL 33711-1700
Phone
(813) 642-3316
NPI assigned
Jul 29, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Authorized official

Name
Natalie Park, DPTNPI 1871052654
Title
Owner
Phone
(612) 357-8764

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

3430 Fairfield Ave S Unit a
St Petersburg, FL 33711-1700

Mailing address

1142 46TH Ave N
St Petersburg, FL 33703-3624
Phone (612) 357-8764

National Provider Directory

National Provider Directory

Locations

7525 Blind Pass Rd
St Pete Beach, FL 33706
Phone (727) 576-2040

3430 Fairfield Ave S
Unit A
St Petersburg, FL 33711
Phone (610) 806-2055

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": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1821827999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1142 46TH AVE N",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337033624",
            "telephone_number": "612-357-8764"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 FAIRFIELD AVE S UNIT A",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337111700",
            "telephone_number": "813-642-3316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AUTHENTIC PELVIC HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "PARK",
        "authorized_official_first_name": "NATALIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "612-357-8764",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 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.