Thamar Perry, PA-C, LAT, ATC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

MA064198 Issued in PA

Practice address

1163 Country Club Rd
Monongahela, PA 15063-1013

Phone

(724) 258-1000

NPI assigned

Mar 9, 2018

Last updated

Dec 16, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mon-Vale Specialty Practices, IncGroup PAC ID 0042464026, 17 clinicians

University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Pennsylvania Hospital Hospital, Philadelphia, PA, CCN 390226
• Penn Highlands Mon Valley Hospital, Monongahela, PA, CCN 390147

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University of Penn - Medical Group

  • Cardiovascular Disease Physician
  • Philadelphia, PA
  • NPI 1093725145
  Medicare reassignment Care Compare group NPD
• Mon-Vale Specialty Practices, Inc

  • Gynecology Physician
  • Monongahela, PA
  • NPI 1356695720
  Medicare reassignment Care Compare group
• Mon-Vale Specialty Practices, Inc

  • Pulmonary Disease Physician
  • Rostraver Township, PA
  • NPI 1033829270
  NPD
• University of Penn-Medical Group

  • Surgical Oncology Physician
  • Philadelphia, PA
  • NPI 1871981985
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Monongahela Valley Hospital, Inc

  dba Penn Highlands Mon Valley

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Monongahela, PA
  • NPI 1184401259
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  dba Penn Highlands Mon Valley

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1639353428
  Care Compare affiliation
• Monongahela Valley Hospital, Inc.

  dba Penn Highlands Mon Valley

  • General Acute Care Hospital
  • Monongahela, PA
  • NPI 1912905548
  Care Compare affiliation
• The Pennsylvania Hospital of the University of Pennsylvania Health Sys

  • General Acute Care Hospital
  • Phila, PA
  • NPI 1063489342
  Care Compare affiliation

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

{
    "created_epoch": "1520553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1093218646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PLEASANT VALLEY BLVD",
            "city": "ROSTRAVER TOWNSHIP",
            "state": "PA",
            "postal_code": "150124203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1163 COUNTRY CLUB RD",
            "city": "MONONGAHELA",
            "state": "PA",
            "postal_code": "150631013",
            "telephone_number": "724-258-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "THAMAR",
        "credential": "PA-C, LAT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-09",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": "RT005783",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA064198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paul J Ruschak MD PC
• Beth Ann Peer, COTA/L
• Christa Marie Peifer, DC
• Penn Neuromuscular Diagnostics, LLC (PNDX)
• Penn Rehab Network, Inc.
• Michele Elizabeth Pfarr, RD, LDN
• Brooke Ann Piccini, CRNP
• Nicole Renee Polinski, CRNP
• Julie Ann Pollack, RPH
• Amanda Dawn Pollock, DPT

• Medical Physician Assistant in Monongahela, PA
• Providers in Monongahela, PA by specialty
• Medical Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.