Organization Active NPI

Perry Physical Therapy, Inc.

  • Physical Therapist
  • La Quinta, CA
National Provider Identifier
1073637070
Registry record updated Aug 17, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
22714 Issued in CA
Legal business name
PERRY PHYSICAL THERAPY, INC.
Practice address
44025 Jefferson St
Suite 104
La Quinta, CA 92253-4874
Phone
(760) 345-5453
Fax
(760) 345-7063
NPI assigned
Mar 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2015

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

Authorized official

Name
Mrs. Elizabeth Perry, PT
Title
Owner
Phone
(760) 345-5453

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 22714 CA Primary

Addresses

Primary practice location

44025 Jefferson St
Suite 104
La Quinta, CA 92253-4874

Mailing address

44025 Jefferson St
Suite 104
La Quinta, CA 92253-4874
Phone (760) 345-5453

National Provider Directory

National Provider Directory

Locations

44025 Jefferson St
Ste 104
La Quinta, CA 92253
Phone (760) 345-5453

NPI Registry JSON

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

{
    "created_epoch": "1174089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439769600000",
    "number": "1073637070",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44025 JEFFERSON ST",
            "address_2": "SUITE 104",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534874",
            "telephone_number": "760-345-5453",
            "fax_number": "760-345-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44025 JEFFERSON ST",
            "address_2": "SUITE 104",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534874",
            "telephone_number": "760-345-5453",
            "fax_number": "760-345-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERRY PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-17",
        "last_updated": "2015-08-17",
        "status": "A",
        "authorized_official_last_name": "PERRY",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "760-345-5453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "22714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in La Quinta, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2015; 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.