Amy Marie Peralta, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

3907 Issued in TN

Practice address

2304 E Lamar Alexander Pkwy
Maryville, TN 37804-5316

Phone

(865) 980-6000

NPI assigned

Jan 12, 2019

Last updated

Jan 12, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1547251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547251200000",
    "number": "1205300324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 SW CROSS RD",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378037532",
            "telephone_number": "615-613-2056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2304 E LAMAR ALEXANDER PKWY",
            "city": "MARYVILLE",
            "state": "TN",
            "postal_code": "378045316",
            "telephone_number": "865-980-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-01-12",
        "last_updated": "2019-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3907",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPLOYEER",
            "identifier": "62-1632255",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• William R Pedersen, OD
• Kristy Lee Pedrero
• Paula Z Peeden, M.D.
• Amy L Peeler, LCSW
• Todd A Pepper
• Johnna Jo Peralta, PT
• Barry Keith Perkins, P.A.-C.
• Bridget B. Peterson, FNP
• John J Peterson, DPH
• Kathryn Winslow Peterson, LPC-MHSP

• Physical Therapy Assistant in Maryville, TN
• Providers in Maryville, TN by specialty
• Physical Therapy Assistant in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.