Active NPI
Brea Elizabeth Perala, OTD, OTR/L
- Occupational Therapist
- Avondale, AZ
National Provider Identifier
1265266894
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTH-009805
- Practice address
- 1585 N 113TH Ave Ste 102
Avondale, AZ 85392-3938 - Phone
- (623) 322-8250
- NPI assigned
- Aug 27, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTH-009805 | AZ | |
| Occupational Therapist | 225X00000X | OTH-009805 | AZ | Primary |
Addresses
Primary practice location
1585 N 113TH Ave Ste 102
Avondale, AZ 85392-3938
Mailing address
15116 N Cotton LN
Surprise, AZ 85388-9618
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 |
|---|---|---|---|
| OTH-009805 | AZ | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| T.E.a.M. 4 Kids, LLC | Pediatrics | Current | Accepting new patients |
Locations
1585 N 113th Ave
Ste 102
Avondale, AZ 85392
Phone (623) 204-1701
20470 N Lake Pleasant Rd
Peoria, AZ 85382
Phone (623) 248-3324
15116 N Cotton Ln
Surprise, AZ 85388
Phone (623) 322-8250
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1724716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1733443200000",
"number": "1265266894",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15116 N COTTON LN",
"city": "SURPRISE",
"state": "AZ",
"postal_code": "853889618"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1585 N 113TH AVE STE 102",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853923938",
"telephone_number": "623-322-8250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALA",
"first_name": "BREA",
"middle_name": "ELIZABETH",
"credential": "OTD, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-08-27",
"last_updated": "2024-12-06",
"certification_date": "2024-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AZ",
"license": "OTH-009805",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AZ",
"license": "OTH-009805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Avondale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.