Individual provider Active NPI

Nicole Danielle Perino, DPT

  • Physical Therapist
  • Middletown, PA
National Provider Identifier
1215504758
Registry record updated Dec 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028901 Issued in PA
Practice address
302 W Main St Ste 101
Middletown, PA 17057-1257
Phone
(717) 388-1119
NPI assigned
Jun 4, 2021
Last updated
Dec 23, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT37187 FL
Physical Therapist 225100000X PT028901 PA Primary

Addresses

Primary practice location

302 W Main St Ste 101
Middletown, PA 17057-1257

Mailing address

1200 Corporate Dr Ste 400
Hoover, AL 35242-5424
Phone (423) 238-7217

Other practice location 1

12250 Tamiami Trl E Ste 102
Naples, FL 34113-8108
Phone (239) 417-0027

Other practice location 2

2900 N Military Trl Ste 220
Boca Raton, FL 33431-6308
Phone (561) 923-8292

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241118000392 PA Practitioner - Physical Therapist in Private Practice 7810398740 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Oct 7, 2024 Accepting new patients
Douglass Orthopedic & Spine Rehabilitation, Inc. Physical Therapist CurrentSince Jul 1, 2024 Accepting new patients
Fyzbiz, LLC Physical Therapist PastSince Jul 1, 2024 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

25241 Elementary Way
Ste 200
Bonita Springs, FL 34135
Phone (239) 947-4184

12250 Tamiami Trl E
Ste 102
Naples, FL 34113
Phone (239) 417-0027

302 W Main St
Ste 101
Middletown, PA 17057
Phone (717) 388-1119

Organizations & group practices 5

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734912000000",
    "number": "1215504758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 W MAIN ST STE 101",
            "city": "MIDDLETOWN",
            "state": "PA",
            "postal_code": "170571257",
            "telephone_number": "717-388-1119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12250 Tamiami Trl E Ste 102",
            "address_purpose": "LOCATION",
            "city": "Naples",
            "state": "FL",
            "postal_code": "341138108",
            "country_code": "US",
            "telephone_number": "239-417-0027",
            "fax_number": "239-417-0041",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2900 N Military Trl Ste 220",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334316308",
            "country_code": "US",
            "telephone_number": "561-923-8292",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERINO",
        "first_name": "NICOLE",
        "middle_name": "DANIELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-04",
        "last_updated": "2024-12-23",
        "certification_date": "2024-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT37187",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Middletown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.