Active NPI
Deanne Louise Perry, MSPT
- Physical Therapist
- Glen Carbon, IL
National Provider Identifier
1275634446
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070008182
- Practice address
- 16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502 - Phone
- (618) 656-1122
- Fax
- (618) 656-1171
- NPI assigned
- Sep 26, 2006
- Last updated
- May 19, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070008182 | IL | Primary |
Addresses
Primary practice location
16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Mailing address
16 Ginger Creek Pkwy
Glen Carbon, IL 62034-3502
Phone (618) 656-1122
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr E.L. Strotheide LTD | Past | Accepting new patients | |
| Fitness Designs Physical Therapy & Sports Rehab | Past | Accepting new patients | |
| Beyond Healthcare S.C. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Granite City, IL
- NPI 1164523338
-
- Physical Therapy Clinic/Center
- Glen Carbon, IL
- NPI 1669468427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159228800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211155200000",
"number": "1275634446",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "16 GINGER CREEK PKWY",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343502",
"telephone_number": "618-656-1122",
"fax_number": "618-656-1171"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 GINGER CREEK PKWY",
"city": "GLEN CARBON",
"state": "IL",
"postal_code": "620343502",
"telephone_number": "618-656-1122",
"fax_number": "618-656-1171"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "DEANNE",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-26",
"last_updated": "2008-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070008182",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glen Carbon, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.