Kenneth Deloria Perez, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0500787QA Issued in IN

Practice address

5214 S East St
BLDG D, Ste 1, HTS Outpatient Therapy Services
Indianapolis, IN 46227-1917

Phone

(800) 486-4449

Fax

(317) 780-3745

NPI assigned

Dec 30, 2005

Last updated

Apr 2, 2008By the provider in NPPES

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 names 1

• Mr. Kenneth Raymond Deloria Perez Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1135900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207094400000",
    "number": "1104803139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5214 S EAST ST",
            "address_2": "BLDG D, STE 1",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271917",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5214 S EAST ST",
            "address_2": "BLDG D, STE 1, HTS OUTPATIENT THERAPY SERVICES",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462271917",
            "telephone_number": "800-486-4449",
            "fax_number": "317-780-3745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KENNETH",
        "middle_name": "DELORIA",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-30",
        "last_updated": "2008-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "0500787QA",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENNETH RAYMOND",
            "last_name": "PEREZ",
            "middle_name": "DELORIA",
            "prefix": "MR.",
            "credential": "RPT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Evelyn Perez, EVELYN
• Felipe P Perez, MD
• Helio C Perez, M.D
• Jose Perez
• Kelsey Lynn Perez, PHD
• Melissa Perez
• Rita Anne Perez
• Rosalia Perez
• Sarina Perez
• Perfect Health Care Services

• Physical Therapist in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Therapist in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2008; 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.