Active NPI
Jeffrey Perez, P.T.
- Physical Therapist
- East Elmhurst, NY
National Provider Identifier
1235463761
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 019393-1
- Practice address
- 7520 Astoria Blvd
East Elmhurst, NY 11370-1138 - Phone
- (718) 888-6922
- NPI assigned
- Sep 30, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 019393-1 | NY | Primary |
| Physical Therapist | 225100000X | 28130 | CA |
Addresses
Primary practice location
7520 Astoria Blvd
East Elmhurst, NY 11370-1138
Mailing address
7520 Astoria Blvd
East Elmhurst, NY 11370-1138
Phone (718) 888-6922
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 |
|---|---|---|---|
| 28130 | CA | MD | Physical Therapist |
| 019393-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254268800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1254268800000",
"number": "1235463761",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7520 ASTORIA BLVD",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701138",
"telephone_number": "718-888-6922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7520 ASTORIA BLVD",
"city": "EAST ELMHURST",
"state": "NY",
"postal_code": "113701138",
"telephone_number": "718-888-6922"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JEFFREY",
"name_prefix": "Mr.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-09-30",
"last_updated": "2009-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "019393-1",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "28130",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in East Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.