Active NPI
Mary Louise Perry, LPTA
- Specialist
- Columbia, SC
National Provider Identifier
1013099688
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 1708
- Practice address
- 720 Rabon Rd
Columbia, SC 29203-8900 - Phone
- (803) 462-0423
- Fax
- (803) 462-9547
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 1708 | SC | Primary |
Addresses
Primary practice location
720 Rabon Rd
Columbia, SC 29203-8900
Mailing address
136 Field Mount Rd
Hopkins, SC 29061-9053
Phone (803) 783-9123
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1708 | SC | MD | Psychologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013099688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 FIELD MOUNT RD",
"city": "HOPKINS",
"state": "SC",
"postal_code": "290619053",
"telephone_number": "803-783-9123"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "720 RABON RD",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292038900",
"telephone_number": "803-462-0423",
"fax_number": "803-462-9547"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "MARY",
"middle_name": "LOUISE",
"name_prefix": "Miss",
"credential": "LPTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "SC",
"license": "1708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.