Individual provider Active NPI

Yvonne Nicole Perez, P.T., D.P.T

  • Physical Therapist
  • Oldsmar, FL
National Provider Identifier
1285988063
Registry record updated Nov 1, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT 27510 Issued in FL
Practice address
640 Brooker Creek Blvd
Oldsmar, FL 34677-2929
Phone
(813) 891-1307
Fax
(813) 849-0151
NPI assigned
Nov 1, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 1, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT 27510 FL Primary

Addresses

Primary practice location

640 Brooker Creek Blvd
Oldsmar, FL 34677-2929

Mailing address

640 Brooker Creek Blvd
Oldsmar, FL 34677-2929
Phone (813) 891-1307

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

LicenseStateTypeSpecialty
PT 27510FLMDPhysical Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351728000000",
    "number": "1285988063",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "640 BROOKER CREEK BLVD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772929",
            "telephone_number": "813-891-1307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 BROOKER CREEK BLVD",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346772929",
            "telephone_number": "813-891-1307",
            "fax_number": "813-849-0151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "YVONNE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "P.T., D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-01",
        "last_updated": "2012-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT 27510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oldsmar, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.