Chadwick Jay Perry, PA C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA10005292 Issued in WA

Practice address

969 Stevens Dr Ste 3a
Richland, WA 99352-3558

Phone

(509) 713-1315

Fax

(877) 673-0795

NPI assigned

Sep 30, 2007

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in WA

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, 2007

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Select Outpatient Services IncGroup PAC ID 4082868815, 750 clinicians

Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Disruption Healthcare PLLCGroup PAC ID 4486007705, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Columbia River Home Health Home health agency, Kennewick, WA, CCN 507061
• Tri-Cities Home Health Home health agency, Kennewick, WA, CCN 507010
• Kadlec Regional Medical Center Hospital, Richland, WA, CCN 500058

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: chadwick.perry@4161.securemail.prognocis.com
• Direct secure messaging: chadwick.perry.p2@direct.medcor.nextgenshare.com
• FHIR API: https://fhir4.healow.com/fhir/r4/CJEDDD/Endpoint/CJEDDD

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.

• Disruption Healthcare PLLC

  • Family Medicine Physician
  • Richland, WA
  • NPI 1316715295
  Medicare reassignment Care Compare group NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248
  Care Compare group
• Kennewick Public Hospital District

  • Home Health Agency
  • Kennewick, WA
  • NPI 1184797433
  NPD (past)

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

• Iron Bridge Healthcare, Inc.

  • Home Health Agency
  • Kennewick, WA
  • NPI 1699263079
  Care Compare affiliation
• Kadlec Regional Medical Center

  • General Acute Care Hospital
  • Richland, WA
  • NPI 1972507580
  Care Compare affiliation
• Tri-Cities Home Health, LLC

  • Home Health Agency
  • Kennewick, WA
  • NPI 1679547244
  Care Compare affiliation

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

{
    "created_epoch": "1191110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763424000000",
    "number": "1093902413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523525",
            "telephone_number": "509-713-1315",
            "fax_number": "877-673-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "969 STEVENS DR STE 3A",
            "city": "RICHLAND",
            "state": "WA",
            "postal_code": "993523558",
            "telephone_number": "509-713-1315",
            "fax_number": "877-673-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "969 Stevens Dr Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Richland",
            "state": "WA",
            "postal_code": "993523557",
            "country_code": "US",
            "telephone_number": "509-713-1315",
            "fax_number": "877-673-0795",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8508 W Gage Blvd Ste A101",
            "address_purpose": "LOCATION",
            "city": "Kennewick",
            "state": "WA",
            "postal_code": "993368106",
            "country_code": "US",
            "telephone_number": "509-222-1275",
            "fax_number": "509-491-3031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "CHADWICK",
        "middle_name": "JAY",
        "name_prefix": "Mr.",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-30",
        "last_updated": "2025-11-18",
        "certification_date": "2025-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA10005292",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSWA",
            "identifier": "3003PE",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8495541",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LIWA",
            "identifier": "0225690",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Marie Perez, ARNP
• Pablo Perez, CBT
• Rubicelia Perez, MD
• Keilani Nicole Perisian-Mason, L.M.H.C.
• Scott Perkins
• Katherine Newhall Perry, M.D.
• Kyle Thomas Perry, DPT
• Nickole Michelle Perry, ARNP
• Personal Physical Therapy LLC
• Teena Pervaiz, MD

• Physician Assistant in Richland, WA
• Providers in Richland, WA by specialty
• Physician Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2025; 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.