Active NPI
Nelda F Perry, PTA
- Physical Therapy Assistant
- Hammond, LA
National Provider Identifier
1194805341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA7016
- Practice address
- 2204 Robin Ave
Hammond, LA 70403-5751 - Phone
- (985) 542-7878
- Fax
- (985) 542-4396
- NPI assigned
- Oct 16, 2006
- 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 Therapy Assistant | 225200000X | PTA7016 | LA | Primary |
Addresses
Primary practice location
2204 Robin Ave
Hammond, LA 70403-5751
Mailing address
P O Box 2965
Hammond, LA 70404
Phone (985) 542-7878
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1677485 | Medicaid | LA | |
| 6400001 | Other | LA | UNITED HEALTHCARE |
| PTA7016 | Other | LA | PHYSICAL THERAPY ASSIST. |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA7016 | LA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1194805341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P O BOX 2965",
"city": "HAMMOND",
"state": "LA",
"postal_code": "70404",
"telephone_number": "985-542-7878",
"fax_number": "985-542-4396"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2204 ROBIN AVE",
"city": "HAMMOND",
"state": "LA",
"postal_code": "704035751",
"telephone_number": "985-542-7878",
"fax_number": "985-542-4396"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "NELDA",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-16",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "LA",
"license": "PTA7016",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1677485",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6400001",
"state": "LA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY ASSIST.",
"identifier": "PTA7016",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hammond, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.