Active NPI
Kimberly Elaine Perra, PTA
- Physical Therapist
- Rossville, GA
National Provider Identifier
1033646567
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 110 Park City Rd
Rossville, GA 30741-3980 - Phone
- (706) 858-5000
- NPI assigned
- May 15, 2017
- Last updated
- May 15, 2017
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
110 Park City Rd
Rossville, GA 30741-3980
Mailing address
265 Pocket Rd
Chickamauga, GA 30707-4732
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1468 | Other | GA | PHYSICAL THERAPIST ASSIST |
| 1468 | Other | GA | PHYSICAL THERAPIST ASSISTANT |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494806400000",
"number": "1033646567",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "265 POCKET RD",
"city": "CHICKAMAUGA",
"state": "GA",
"postal_code": "307074732"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 PARK CITY RD",
"city": "ROSSVILLE",
"state": "GA",
"postal_code": "307413980",
"telephone_number": "706-858-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRA",
"first_name": "KIMBERLY",
"middle_name": "ELAINE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-05-15",
"last_updated": "2017-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST ASSIST",
"identifier": "1468",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST ASSISTANT",
"identifier": "1468",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rossville, GA
- Reginald A Parker, PTA
- Parkside Operation LLC (The Center for Advanced Rehab at Parkside)
- Passion4People Healthcare Advocacy & Navigation Services LLC
- Pedro Juan Perez Jr., DMD
- Perfect Start ABA
- Carl Frederick Peterson Jr., DDS
- Aimee Pierce, LPC
- David Poehlein, CADCII
- Kathleen Marie Powell, PT
- Primary Health Care Center of Dade, Inc. (Primary Health Care at Rossville Elementary SBHC)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 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.