Individual provider Active NPI

Annalise Perez, PT, DPT, NCS

  • Neurology Physical Therapist
  • Ocoee, FL
National Provider Identifier
1083459606
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology Physical TherapistTaxonomy code 2251N0400X
License
PT30616 Issued in FL
Practice address
1300 Hempel Ave
Ocoee, FL 34761-4668
Phone
(407) 407-0500
NPI assigned
Jun 26, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physical Therapist 2251N0400X PT30616 FL Primary

Addresses

Primary practice location

1300 Hempel Ave
Ocoee, FL 34761-4668

Mailing address

2220 Derbyshire Rd
Maitland, FL 32751-3602
Phone (786) 546-3609

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241125001197 FL Practitioner - Physical Therapist in Private Practice 2466993712 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The University of Central Florida Board of TrusteesGroup PAC ID 9739181470, 43 clinicians

Practice addresses (Care Compare)

3280 Progress Dr
Suite 500
Orlando, FL 32826-2903
Phone (407) 882-0468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT30616FLMDNeurology Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
University of Central Florida CurrentSince Oct 1, 2024 Accepting new patients
The University of Central Florida Board of Trustees Current Accepting new patients
The University of Central Florida Board of Trustees CurrentSince Oct 1, 2024 Accepting new patients

Locations

3280 Progress Dr
Ste 500
Orlando, FL 32826
Phone (407) 882-0468

3400 Quadrangle Blvd
Orlando, FL 32817
Phone (407) 266-3627

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1719360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719360000000",
    "number": "1083459606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 DERBYSHIRE RD",
            "city": "MAITLAND",
            "state": "FL",
            "postal_code": "327513602",
            "telephone_number": "786-546-3609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1300 HEMPEL AVE",
            "city": "OCOEE",
            "state": "FL",
            "postal_code": "347614668",
            "telephone_number": "407-407-0500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANNALISE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, NCS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-26",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251N0400X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Neurology",
            "state": "FL",
            "license": "PT30616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ocoee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.