Individual provider Active NPI

Becky Sue Perez, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1225185473
Registry record updated Jul 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6861 Issued in CO
Practice address
9363 S Holland Way
Littleton, CO 80127-5934
Phone
(303) 910-1372
NPI assigned
Jan 3, 2007
Last updated
Jul 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6861 CO Primary

Addresses

Primary practice location

9363 S Holland Way
Littleton, CO 80127-5934

Mailing address

9363 S Holland Way
Littleton, CO 80127-5934
Phone (303) 910-1372

Other identifiers 1

IdentifierTypeStateIssuer
85851337MedicaidCO

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL Littleton
SOAP URL Littleton

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040507001074 CO Practitioner - Physical Therapist in Private Practice 6800885666 Practice locations: Littleton, CO

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6861COMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1167782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690675200000",
    "number": "1225185473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9363 S HOLLAND WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275934",
            "telephone_number": "303-910-1372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9363 S HOLLAND WAY",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801275934",
            "telephone_number": "303-910-1372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "BECKY",
        "middle_name": "SUE",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-03",
        "last_updated": "2023-07-30",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6861",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "85851337",
            "state": "CO"
        }
    ],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Littleton",
            "affiliation": "N",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Littleton",
            "address_1": "9363 S Holland Way",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801275934",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "Littleton",
            "affiliation": "N",
            "address_1": "9363 S Holland Way",
            "city": "Littleton",
            "state": "CO",
            "country_code": "US",
            "postal_code": "801275934",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2023; 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.