Individual provider Active NPI

Javier Perez, DPT

  • Orthopedic Physical Therapist
  • Kissimmee, FL
National Provider Identifier
1104471770
Registry record updated Aug 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
PT34974 Issued in FL
Practice address
1207 N Central Ave
Kissimmee, FL 34741-4407
Phone
(407) 870-5959
NPI assigned
Aug 9, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X PT34974 FL Primary

Addresses

Primary practice location

1207 N Central Ave
Kissimmee, FL 34741-4407

Mailing address

899 N Orange Ave Apt 608
Orlando, FL 32801-1158
Phone (954) 559-7232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200619000354 FL Practitioner - Physical Therapist in Private Practice 7810319969 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
81.65 of 100Reported as group
Quality
66.27
Promoting interoperability
100
Improvement activities
40
Cost
72.56

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT34974FLMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tenet Florida Physician Services II, LLC CurrentSince Oct 11, 2021 Accepting new patients
Tenet Florida Physician Services LLC CurrentSince Oct 11, 2021 Accepting new patients
Cora Health Services Inc Current Accepting new patients
Tenet Florida Physician Services II, LLC Orthopedic Current Accepting new patients
Cora Health Services, Inc. CurrentSince May 2, 2020 Accepting new patients
Cora Health Services, Inc CurrentSince May 2, 2020 Accepting new patients

Locations

3000 Bayview Dr
Ft Lauderdale, FL 33306
Phone (954) 393-1708

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

1207 N Central Ave
Kissimmee, FL 34741
Phone (407) 508-7802

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

11962 County Road 101
Ste 104
The Villages, FL 32162
Phone (352) 840-9580

1114 Bichara Blvd
The Villages, FL 32159
Phone (352) 557-0832

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Organizations & group practices 6

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": "1565308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565308800000",
    "number": "1104471770",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "899 N ORANGE AVE APT 608",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328011158",
            "telephone_number": "954-559-7232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1207 N CENTRAL AVE",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347414407",
            "telephone_number": "407-870-5959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JAVIER",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-09",
        "last_updated": "2019-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT34974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kissimmee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2019; 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.