Anthony Corey Perella, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

4431 Issued in SC

Practice address

1943 Glenns Bay Rd
Surfside Beach, SC 29575-4833

Phone

(843) 650-1162

Fax

(843) 650-1174

NPI assigned

May 2, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in SC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2004

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Comprehensive Physical Therapy & Rehab

  • Physical Therapist
  • Surfside Beach, SC
  • NPI 1659428324
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210118400000",
    "number": "1124086913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1943 GLENNS BAY ROAD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754406",
            "telephone_number": "843-650-1162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1943 GLENNS BAY RD",
            "city": "SURFSIDE BEACH",
            "state": "SC",
            "postal_code": "295754833",
            "telephone_number": "843-650-1162",
            "fax_number": "843-650-1174"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELLA",
        "first_name": "ANTHONY",
        "middle_name": "COREY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2008-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "4431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Prudence Melinda Olsen, PA-C
• Grishma Pankhania
• John L. Pavy, DDS
• PC Martin Chiropractic Inc
• Jabe Thomas Peele
• Shannon Marie Philipps, DO
• Joshua Pond, D.C.
• Melanie H Porter, NP
• Jerd Watts Poston, O.D.
• Primary Medical, LLC

• Physical Therapist in Surfside Beach, SC
• Providers in Surfside Beach, SC by specialty
• Physical Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2008; 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.