Active NPI
Mark Perez, DPT
- Physical Therapist
- Warrenville, IL
National Provider Identifier
1275115396
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070024429
- Practice address
- 27650 Ferry Rd
Warrenville, IL 60555-3845 - Phone
- (630) 315-1522
- NPI assigned
- Apr 27, 2021
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070024429 | IL | Primary |
Addresses
Primary practice location
27650 Ferry Rd
Warrenville, IL 60555-3845
Mailing address
26 Sterling Cir Apt 308
Wheaton, IL 60189-2102
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070024429 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1619481600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619481600000",
"number": "1275115396",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26 STERLING CIR APT 308",
"city": "WHEATON",
"state": "IL",
"postal_code": "601892102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "27650 FERRY RD",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605553845",
"telephone_number": "630-315-1522"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARK",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-04-27",
"last_updated": "2021-04-27",
"certification_date": "2021-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070024429",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Warrenville, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.