Active NPI
Jesse Perry
- Physical Therapist
- Jamestown, NC
National Provider Identifier
1023625779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P19698
- Practice address
- 4319 Millis Rd Apt 204
Jamestown, NC 27282-8983 - Phone
- (315) 559-3902
- NPI assigned
- Sep 28, 2020
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | P19698 | NY | Primary |
Addresses
Primary practice location
4319 Millis Rd Apt 204
Jamestown, NC 27282-8983
Mailing address
4319 Millis Rd Apt 204
Jamestown, NC 27282-8983
Phone (315) 559-3902
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 |
|---|---|---|---|
| P19698 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1601251200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601251200000",
"number": "1023625779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4319 MILLIS RD APT 204",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828983",
"telephone_number": "315-559-3902"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4319 MILLIS RD APT 204",
"city": "JAMESTOWN",
"state": "NC",
"postal_code": "272828983",
"telephone_number": "315-559-3902"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JESSE",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2020-09-28",
"last_updated": "2020-09-28",
"certification_date": "2020-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "P19698",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jamestown, NC
- Valosha Ashleigh Odom, MBA
- Clara Olaitan Ogunsan, PHARMD
- Parakletos Services Incorporated
- Kenneth R. Pataky, MS, LCMHC, LMHC
- Donald P. Patterson, PH.D.
- Rudolf Harald Wilhelm Petrini, LCMHC
- Piedmont Counseling and Development
- Piedmont Therapy and Wellness, PLLC
- Greta Miller Platt, CBC/SLP
- Andrea Nicole Pluskota, M.S, CCC/SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.