Active NPI
Amanda Chevon Perez, P.T.
- Physical Therapist
- Cedar Park, TX
National Provider Identifier
1073759932
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1266663
- Practice address
- 2519 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2964 - Phone
- (512) 331-6200
- Fax
- (512) 331-6384
- NPI assigned
- Dec 24, 2008
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35047 | CA | |
| Physical Therapist | 225100000X | P14294 | NC | |
| Physical Therapist | 225100000X | 1266663 | TX | Primary |
Addresses
Primary practice location
2519 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2964
Mailing address
2519 S Lakeline Blvd Ste 100
Cedar Park, TX 78613-2964
Phone (512) 331-6200
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1266663 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Butler Family Chiropractic, PLLC | Past | Accepting new patients | |
| Geller Medical Corporation | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Jacksonville, NC
- NPI 1558134981
-
dba United Physicians Group
- Physical Medicine & Rehabilitation Physician
- San Diego, CA
- NPI 1639258239
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1230076800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1442275200000",
"number": "1073759932",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2519 S LAKELINE BLVD STE 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132964",
"telephone_number": "512-331-6200",
"fax_number": "512-331-6384"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2519 S LAKELINE BLVD STE 100",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786132964",
"telephone_number": "512-331-6200",
"fax_number": "512-331-6384"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "AMANDA",
"middle_name": "CHEVON",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-12-24",
"last_updated": "2015-09-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "35047",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "P14294",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1266663",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cedar Park, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 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.