Victoria Cristal Perez, PT, DPT
Individual provider Active NPI Physical Therapist · Boerne, TX
NPI 1053933804 · NPPES record last updated May 15, 2020
Key facts
- NPI
- 1053933804
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 1305936 (TX)
- Practice address
- 1002 E Blanco Rd Ste B
Boerne, TX 78006-1802 - Phone
- (830) 331-8420
- NPI assigned
- May 15, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Armada Physical Therapy of Albuquerque LLC
Practice addresses (Care Compare)
8616 Menaul Blvd NE
Suite a
Albuquerque, NM 87112-2262
Phone (505) 292-4784
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NM
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230119002160 | NM | Practitioner - Physical Therapist in Private Practice | 8527481084 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Apexnetwork New Mexico, LLC | Physical Therapist | Current |
Accepting new patients |
| Armada Physical Therapy of Albuquerque LLC | Current |
Accepting new patients |
Locations
15 Apex Dr
Highland, IL 62249
Phone (618) 441-0482
6400 Jefferson St NE
Ste 102
Albuquerque, NM 87109
Phone (505) 344-2922
8616 Menaul Blvd NE
Ste A
Albuquerque, NM 87112
Phone (505) 292-4784
2929 Coors Blvd NW
Ste 100
Albuquerque, NM 87120
Phone (505) 239-8969
140 E Highway 550
Ste E3
Bernalillo, NM 87004
Phone (505) 404-8652
510 W Maloney Ave
Ste C
Gallup, NM 87301
Phone (505) 488-2615
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1305936 | TX | Yes |
Addresses
Primary practice location
1002 E Blanco Rd Ste B
Boerne, TX 78006-1802
Mailing address
1002 E Blanco Rd Ste B
Boerne, TX 78006-1802
Other providers in Boerne, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.