PRESTIGE HEALTH & PERFORMANCE (NPI# 1164044590) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164044590 |
| Entity Type | Organization |
| Organization Name | PRESTIGE HEALTH & PERFORMANCE |
| Practice Address |
20354 Chestnut Grove Dr Tampa FL 33647-3344 |
| Practice Telephone | 4046689560 |
| Enumeration Date | 2020-05-07 |
| Last Update Date | 2020-05-07 |
| Authorized Official Name | DWAGNE J HASKINS (OWNER/FOUNDER) |
| Authorized Official Telephone | 4046689560 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Other Name | Type Code |
|---|---|
| Prestige Physical Therapy | Doing Business As Name - Organization |
| Street Address |
20354 CHESTNUT GROVE DR |
| City | TAMPA |
| State | FL |
| Zip Code | 33647-3344 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558972935 | Innovative Healthcare of Florida, Inc. | Home Health | 8903 Bruce B Downs Blvd, Tampa, FL 33647 | 2020-08-11 |
| 1093331498 | Envision In-home Companion Svcs | Home Health | 8903 Bruce B. Downs Blvd, Suite #140, Tampa, FL 33647 | 2020-06-22 |
| 1538788344 | Deanna Rene Shelpman | Massage Therapist | 15443 Plantation Oaks Dr, Apt 13, Tampa, FL 33647 | 2020-04-11 |
| 1316598998 | Paramount Health Group LLC | In Home Supportive Care | 17425 Bridge Hill Crt. Unit 200b, Tampa, FL 33647 | 2019-09-24 |
| 1174185656 | S&k Management Services | Clinical Nurse Specialist | 19046 Bruce B. Downs Blvd, Ste 177, Tampa, FL 33647 | 2019-07-03 |
| 1760040133 | Calisia Sapp | Clinic/Center | 19046 Bruce B Downs Blvd Ste B6-703, Tampa, FL 33647 | 2019-05-31 |
| 1306400106 | B2b Apps Solutions, LLC | Durable Medical Equipment & Medical Supplies | 17931 Cachet Isle Drive, Tampa, FL 33647 | 2019-04-26 |
| 1376000919 | Florida Homecare Specialists Minority Corp | Home Health | 5331 Primrose Lake Circle Unit 116, Tampa, FL 33647 | 2019-03-01 |
| 1982188157 | Dynamic Support Solutions, LLC | Home Health | 8606 Baneberry Ct, Tampa, FL 33647 | 2018-09-24 |
| 1982197430 | Erika Mendoza-hutto | Nurse Practitioner | 20713 Center Oak Dr, Tampa, FL 33647 | 2018-06-10 |
| Find all providers in zip 33647 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710519806 | Shawna Rae Sprout | Physical Therapist | 6417 E County Line Rd Ste 100, Tampa, FL 33647-1855 | 2020-02-07 |
| 1992211767 | Jesse Polanco | Physical Therapist | 4019 Henderson Blvd, Tampa, FL 33629-4939 | 2017-12-15 |
| 1922556448 | Richard Scafidi | Physical Therapist | 1175 E Kennedy Blvd, Apt 843, Tampa, FL 33602-3545 | 2016-09-13 |
| 1477984896 | Gulfcoast Spine Institute Pa | Physical Therapist | 6101 Webb Rd., Suite 304, Tampa, FL 33615-2866 | 2013-12-11 |
| 1659622496 | Maria Ann Silverberg | Physical Therapist | 10414 Butia Pl, Tampa, FL 33618-4118 | 2012-09-19 |
| 1215064944 | Sarah E Swigart | Physical Therapist | 17200 Commerce Park Blvd, Tampa, FL 33647-2600 | 2007-02-28 |
| 1407929359 | Sherrice Broussard Rose | Physical Therapist | 2307 S Dale Mabry Hwy Ste F, Tampa, FL 33629-6322 | 2006-11-16 |
| 1164412805 | Cynthia Goode | Physical Therapist | 2106 S Lois Ave, Tampa, FL 33629-5602 | 2005-10-25 |
| 1508856261 | David Newman | Physical Therapist | 3515 E Fletcher Ave, Mdc 90, Tampa, FL 33613-4706 | 2005-10-25 |
| 1770181372 | Jordan Noga | Physical Therapist | 10272 Causeway Blvd, Tampa, FL 33619-6606 | 2020-10-15 |
| Find all providers in TAMPA | ||||
Please comment or provide details below to improve the information on PRESTIGE HEALTH & PERFORMANCE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.