Elena Kim Perez, RN,PT

Primary specialty

Neurology Physical TherapistTaxonomy code 2251N0400X

License

PT02258 Issued in RI

Practice address

2 Dudley St Ste 530
Providence, RI 02905-3230

Phone

(401) 444-4787

Fax

(401) 444-2838

NPI assigned

Mar 29, 2012

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Registered Nurse

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1332979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1333065600000",
    "number": "1063788438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST STE 530",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053230",
            "telephone_number": "401-444-4787",
            "fax_number": "401-444-2838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 DUDLEY ST STE 530",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029053230",
            "telephone_number": "401-444-4787",
            "fax_number": "401-444-2838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ELENA",
        "middle_name": "KIM",
        "credential": "RN,PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-29",
        "last_updated": "2012-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "RI",
            "license": "PT02258",
            "primary": true
        },
        {
            "code": "163WN0800X",
            "taxonomy_group": "",
            "desc": "Registered Nurse, Neuroscience",
            "state": "RI",
            "license": "RN43432",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis S Perez
• Angela Grace Perez, LMHC
• Dilennys Mercedes Perez, FNP
• Dorean Perez
• Dylan Perez, DO
• Jennifer M Perez
• Jose Luis Perez Jr., MD
• Kerry Perez, AGACNP-BC
• Kimberly Perez
• Maryann Perez, LMHC

• Neurology Physical Therapist in Providence, RI
• Providers in Providence, RI by specialty
• Neurology Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.