Active NPI
Desiree Perez, PT
- Physical Therapist
- Richardson, TX
National Provider Identifier
1215149356
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1162509
- Practice address
- 888 S Greenville Ave Ste 207
Richardson, TX 75081-5044 - Phone
- (972) 899-3473
- Fax
- (469) 784-9424
- NPI assigned
- May 3, 2007
- 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 | 1162509 | TX | Primary |
Addresses
Primary practice location
888 S Greenville Ave Ste 207
Richardson, TX 75081-5044
Mailing address
5905 95TH St
Lubbock, TX 79424-6706
Other practice location 1
4510 27th St
Lubbock, TX 79410-1709
Phone (806) 785-2464
Other names 1
- Desiree Masters
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1162509 | TX | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Livestrong Home Health | Current | Accepting new patients | |
| On Point MVP LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Dallas, TX
- NPI 1437462371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1651708800000",
"number": "1215149356",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5905 95TH ST",
"city": "LUBBOCK",
"state": "TX",
"postal_code": "794246706"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "888 S GREENVILLE AVE STE 207",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "750815044",
"telephone_number": "972-899-3473",
"fax_number": "469-784-9424"
}
],
"practiceLocations": [
{
"address_1": "4510 27th St",
"address_purpose": "LOCATION",
"city": "Lubbock",
"state": "TX",
"postal_code": "794101709",
"country_code": "US",
"telephone_number": "806-785-2464",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "DESIREE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2022-05-05",
"certification_date": "2022-05-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1162509",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "DESIREE",
"last_name": "MASTERS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.