Active NPI
Jennifer A Perfetto, PT
- Specialist
- Shreveport, LA
National Provider Identifier
1033352976
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- PT 03771F
- Practice address
- 9809 Hearthside Cir
Shreveport, LA 71118-4830 - Phone
- (318) 773-5300
- NPI assigned
- Apr 8, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | PT 03771F | LA | Primary |
Addresses
Primary practice location
9809 Hearthside Cir
Shreveport, LA 71118-4830
Mailing address
9809 Hearthside Cir
Shreveport, LA 71118-4830
Phone (318) 773-5300
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT 03771F | LA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Melanie Massey Infant & Toddler LLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Speech-Language Pathologist
- West Monroe, LA
- NPI 1447453865
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1239148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1239148800000",
"number": "1033352976",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9809 HEARTHSIDE CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711184830",
"telephone_number": "318-773-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9809 HEARTHSIDE CIR",
"city": "SHREVEPORT",
"state": "LA",
"postal_code": "711184830",
"telephone_number": "318-773-5300"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERFETTO",
"first_name": "JENNIFER",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-04-08",
"last_updated": "2009-04-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "LA",
"license": "PT 03771F",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Shreveport, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.