Active NPI
Lauren Perillo, PT, DPT
- Physical Therapist
- New Rochelle, NY
National Provider Identifier
1184973893
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 035079
- Practice address
- 18 Greens Way
New Rochelle, NY 10805-1223 - Phone
- (914) 490-6993
- NPI assigned
- Sep 10, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 035079 | NY | Primary |
Addresses
Primary practice location
18 Greens Way
New Rochelle, NY 10805-1223
Mailing address
18 Greens Way
New Rochelle, NY 10805-1223
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- New York Medical College, 2012
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
700 Hicksville Rd
Bethpage, NY 11714-3471
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035079 | NY | MD | Physician Assistant |
Organizations & group practices 1
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": "1347235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1347235200000",
"number": "1184973893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18 GREENS WAY",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108051223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18 GREENS WAY",
"city": "NEW ROCHELLE",
"state": "NY",
"postal_code": "108051223",
"telephone_number": "914-490-6993"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERILLO",
"first_name": "LAUREN",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-09-10",
"last_updated": "2012-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "035079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Rochelle, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.