Individual provider Active NPI

Aaron Whitbeck Perkins, D.C, PT

  • Physical Therapist
  • Plattsburgh, NY
National Provider Identifier
1184695439
Registry record updated Sep 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
025940-1 Issued in NY
Practice address
87 Hammond LN
Suite a
Plattsburgh, NY 12901-2000
Phone
(518) 324-6090
Fax
(518) 324-6091
NPI assigned
Jan 26, 2006
Last updated
Sep 15, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 15, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X X010884-1 NY
Physical Therapist 225100000X 025940-1 NY Primary

Addresses

Primary practice location

87 Hammond LN
Suite a
Plattsburgh, NY 12901-2000

Mailing address

87 Hammond LN
Suite a
Plattsburgh, NY 12901-2000
Phone (518) 324-6090

Other identifiers 1

IdentifierTypeStateIssuer
02563757MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040902000491 NY Practitioner - Chiropractic 4082689104 Reassigns benefits to 1 organization
I20040908000151 NY Practitioner - Physical Therapist in Private Practice 4082689104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Perkins Chiropractic and Physical Therapy PLLCGroup PAC ID 9638144850, 2 clinicians

Practice addresses (Care Compare)

87 Hammond LN
Plattsburgh, NY 12901-2000
Phone (518) 324-6090

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
025940NYMDCounseling Psychologist
X010884-1NYMDChiropractor
025940-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Perkins Chiropractic & Physical Therapy PLLC Chiropractor CurrentSince Jun 18, 2004 Accepting new patients
Central Illinois Physical Therapy Professionals, LTD Physical Therapist PastSince Jul 2, 2012 Accepting new patients

Locations

87 Hammond Ln
Plattsburgh, NY 12901
Phone (518) 324-6090

87 Hammond Ln
Ste A
Plattsburgh, NY 12901
Phone (518) 324-6090

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": "1138233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347667200000",
    "number": "1184695439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 HAMMOND LN",
            "address_2": "SUITE A",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-324-6090",
            "fax_number": "518-324-6091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "87 HAMMOND LN",
            "address_2": "SUITE A",
            "city": "PLATTSBURGH",
            "state": "NY",
            "postal_code": "129012000",
            "telephone_number": "518-324-6090",
            "fax_number": "518-324-6091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "AARON",
        "middle_name": "WHITBECK",
        "name_prefix": "Dr.",
        "credential": "D.C, PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-26",
        "last_updated": "2012-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X010884-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "025940-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02563757",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plattsburgh, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2012; 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.