Active NPI
Fred Douglas Perkins Jr., MT-BC
- Music Therapist
- Raleigh, NC
National Provider Identifier
1235783879
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Music Therapist
- License
- 11164
- Practice address
- 5868 Faringdon PL
Raleigh, NC 27609-3931 - Phone
- (919) 741-3160
- NPI assigned
- Jul 31, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Music Therapist | 225A00000X | 11164 | NC | Primary |
Addresses
Primary practice location
5868 Faringdon PL
Raleigh, NC 27609-3931
Mailing address
3710 Exchange Glenwood PL Apt 8
Raleigh, NC 27612-5544
Phone (919) 475-2641
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 |
|---|---|---|---|
| 11164 | NC | MD | Music Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687824000000",
"number": "1235783879",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3710 EXCHANGE GLENWOOD PL APT 8",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276125544",
"telephone_number": "919-475-2641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5868 FARINGDON PL",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276093931",
"telephone_number": "919-741-3160"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKINS",
"first_name": "FRED",
"middle_name": "DOUGLAS",
"name_suffix": "Jr.",
"credential": "MT-BC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-31",
"last_updated": "2023-06-27",
"certification_date": "2023-06-27",
"status": "A"
},
"taxonomies": [
{
"code": "225A00000X",
"taxonomy_group": "",
"desc": "Music Therapist",
"state": "NC",
"license": "11164",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.