Active NPI
Maricely Perez-Alers, PT
- Physical Therapist
- Dorchester, MA
National Provider Identifier
1053409789
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 11511
- Practice address
- 1140 Dorchester Ave
Dorchester, MA 02125-3305 - Phone
- (617) 474-0756
- NPI assigned
- Oct 10, 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11511 | MA | Primary |
Addresses
Primary practice location
1140 Dorchester Ave
Dorchester, MA 02125-3305
Mailing address
34 Mendum St
Roslindale, MA 02131-1614
Phone (617) 469-0203
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 |
|---|---|---|---|
| 11511 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053409789",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34 MENDUM ST",
"city": "ROSLINDALE",
"state": "MA",
"postal_code": "021311614",
"telephone_number": "617-469-0203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1140 DORCHESTER AVE",
"city": "DORCHESTER",
"state": "MA",
"postal_code": "021253305",
"telephone_number": "617-474-0756"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ-ALERS",
"first_name": "MARICELY",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "11511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dorchester, MA
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.