Active NPI
Daniel Perucca, PTA
- Physical Therapy Assistant
- The Woodlands, TX
National Provider Identifier
1093234874
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2090897
- Practice address
- 3101 College Park Dr
The Woodlands, TX 77384-4099 - Phone
- (281) 362-0006
- Fax
- (281) 362-0233
- NPI assigned
- Sep 13, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2090897 | TX | Primary |
Addresses
Primary practice location
3101 College Park Dr
The Woodlands, TX 77384-4099
Mailing address
3101 College Park Dr
The Woodlands, TX 77384
Phone (281) 362-0006
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2090897 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1505260800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1662422400000",
"number": "1093234874",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3101 COLLEGE PARK DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "77384",
"telephone_number": "281-362-0006",
"fax_number": "281-362-0233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 COLLEGE PARK DR",
"city": "THE WOODLANDS",
"state": "TX",
"postal_code": "773844099",
"telephone_number": "281-362-0006",
"fax_number": "281-362-0233"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERUCCA",
"first_name": "DANIEL",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-09-13",
"last_updated": "2022-09-06",
"certification_date": "2022-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2090897",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Woodlands, TX
- Joseph C Perkinson III, M.D.
- Breanna Perry, DC
- Nikki M Perry, M.ED., LPC, LCDC
- Person First Wellness, PLLC (Person First Wellness)
- Danette Marlene Persyn, M.D.
- Lanna D Pete, PHARM.D.
- Peter D. Franklin M.D. P.a.
- James Joseph Peters, LCSW
- Gina Grace Peterson, MSN, APRN, CPNP-AC
- Jason Lee Peterson, PHYSICAL THERAPIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.