Individual provider Active NPI

Elaine Farrar Perricelli, PT

  • Physical Therapist
  • Palm Coast, FL
National Provider Identifier
1114543659
Registry record updated Mar 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT21410 Issued in FL
Practice address
650 Colbert LN
Palm Coast, FL 32137-4503
Phone
(352) 360-9841
NPI assigned
Jun 21, 2020
Last updated
Mar 23, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 23, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT21410 FL Primary

Addresses

Primary practice location

650 Colbert LN
Palm Coast, FL 32137-4503

Mailing address

970 Hagstrom Rd
Pierson, FL 32180-2507
Phone (352) 360-9841

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210930000792 FL Practitioner - Physical Therapist in Private Practice 9537566765 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT21410FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Link Home Therapy Services of Florida LLC Physical Therapist CurrentSince Jun 15, 2021 Accepting new patients

Locations

180 Sylvan Ave
Ste 4
Englewood Cliffs, NJ 07632
Phone (347) 841-8943

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1592697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1774224000000",
    "number": "1114543659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "970 HAGSTROM RD",
            "city": "PIERSON",
            "state": "FL",
            "postal_code": "321802507",
            "telephone_number": "352-360-9841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 COLBERT LN",
            "city": "PALM COAST",
            "state": "FL",
            "postal_code": "321374503",
            "telephone_number": "352-360-9841"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRICELLI",
        "first_name": "ELAINE",
        "middle_name": "FARRAR",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-21",
        "last_updated": "2026-03-23",
        "certification_date": "2026-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT21410",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Palm Coast, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.