Joanna Lynn Perez, OT/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3436 Issued in CT

Practice address

55E State St
North Haven, CT 06473-2206

Phone

(908) 391-7719

NPI assigned

Mar 12, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Shift Wellness LLC

  • Physical Rehabilitation Occupational Therapist
  • Wallingford, CT
  • NPI 1730049503
  NPD Authorized official

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

{
    "created_epoch": "1710201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710201600000",
    "number": "1073371118",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55E STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732206",
            "telephone_number": "908-391-7719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55E STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732206",
            "telephone_number": "908-391-7719"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOANNA",
        "middle_name": "LYNN",
        "credential": "OT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-12",
        "last_updated": "2024-03-12",
        "certification_date": "2024-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "3436",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pediatrics Plus PC
• Stefania Pellegrino, APRN
• McKenzie Pelletier
• People's Home Healthcare Inc. (Peoples Pharmacy)
• Peoples Home Healthcare Inc (Peoples Medical)
• Ronald S. Perpetua, DNP
• John Jeffrey Peters, MD
• Mary K Peterson, APRN
• Fausto Petruzziello, MD
• Shana Nicole Pettway

• Occupational Therapist in North Haven, CT
• Providers in North Haven, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2024; 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.