Edgar Christopher Perez

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA33297 Issued in FL

Practice address

4820 Newberry Rd
Gainesville, FL 32607-2249

Phone

(352) 373-2116

NPI assigned

Mar 20, 2024

Sex

Male

Sole proprietor

No

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

State licenses

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.

• Request Physical Therapy

  • Physical Therapist
  • Gainesville, FL
  • NPI 1245225085
  NPD (past)

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

{
    "created_epoch": "1710892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710892800000",
    "number": "1083474878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4820 NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4820 NEWBERRY RD",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072249",
            "telephone_number": "352-373-2116"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12830 SW 1st Ln",
            "address_purpose": "LOCATION",
            "city": "Newberry",
            "state": "FL",
            "postal_code": "326693260",
            "country_code": "US",
            "telephone_number": "352-373-2116",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "EDGAR",
        "middle_name": "CHRISTOPHER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-20",
        "last_updated": "2024-03-20",
        "certification_date": "2024-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA33297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Belkis Beatriz Perez, ARNP
• Brandon Christopher Perez, B.S.
• Daniel Joseph Perez
• Daniela Perez, DMD
• David Perez, L.M.H.C.
• Edna Perez, DMD
• Emanuel Perez, CAA
• Iraida Perez
• Janelle Perez
• Jennifer Perez

• Physical Therapy Assistant in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.