Active NPI
Eduardo Perez, MS, ATC, LAT
- Athletic Trainer
- Selbyville, DE
National Provider Identifier
1275448136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- J3-0010873
- Practice address
- 36355 Pepper Rd
Selbyville, DE 19975-3030 - Phone
- (302) 362-0450
- NPI assigned
- Aug 17, 2026
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | J3-0010873 | DE | Primary |
Addresses
Primary practice location
36355 Pepper Rd
Selbyville, DE 19975-3030
Mailing address
36355 Pepper Rd
Selbyville, DE 19975-3030
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1786924800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1275448136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "36355 PEPPER RD",
"city": "SELBYVILLE",
"state": "DE",
"postal_code": "199753030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "36355 PEPPER RD",
"city": "SELBYVILLE",
"state": "DE",
"postal_code": "199753030",
"telephone_number": "302-362-0450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "EDUARDO",
"credential": "MS, ATC, LAT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2026-08-17",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "DE",
"license": "J3-0010873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Selbyville, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.