Bliss Myofascial Release

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT23951 Issued in FL

Legal business name

BLISS MYOFASCIAL RELEASE

Practice address

800 Tarpon Woods Blvd Ste F1
Palm Harbor, FL 34685-2000

Phone

(727) 365-8838

NPI assigned

Sep 14, 2012

Organization subpart

No

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

Authorized official

Name

Ms. Carolyn Puckett, P.T.

Title

Owner

Phone

(727) 365-8838

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1347580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490659200000",
    "number": "1992055073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TARPON WOODS BLVD",
            "address_2": "SUITE F1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852011",
            "telephone_number": "727-365-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TARPON WOODS BLVD STE F1",
            "city": "PALM HARBOR",
            "state": "FL",
            "postal_code": "346852000",
            "telephone_number": "727-365-8838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLISS MYOFASCIAL RELEASE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-14",
        "last_updated": "2017-03-28",
        "status": "A",
        "authorized_official_last_name": "PUCKETT",
        "authorized_official_first_name": "CAROLYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "727-365-8838",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT23951",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ashley Blackwell
• David Blair
• Susan D Blankenship, DMD INC
• Andrew Blasen
• Javier Angel Bleichner, MD
• Darren Joseph Bloebaum, PT
• Bloomfield Manor, Inc
• Blueprint Family Health, LLC
• Josh Bly, D.C.
• Cindy E Boehm, LMT

• Physical Therapist in Palm Harbor, FL
• Providers in Palm Harbor, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2017; 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.