Active NPI
Max Perlin, OT
- Occupational Therapist
- Lexington, KY
National Provider Identifier
1295270122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 170907
- Practice address
- 1829 Pershing Rd
Lexington, KY 40504-3510 - Phone
- (859) 797-1692
- NPI assigned
- Jan 2, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 170907 | KY | Primary |
| Occupational Therapist | 225X00000X | 3106244A | IN |
Addresses
Primary practice location
1829 Pershing Rd
Lexington, KY 40504-3510
Mailing address
1829 Pershing Rd
Lexington, KY 40504-3510
Phone (859) 797-1692
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 |
|---|---|---|---|
| 3106244A | IN | MD | Occupational Therapist |
| 170907 | KY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1483315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1483315200000",
"number": "1295270122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1829 PERSHING RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043510",
"telephone_number": "859-797-1692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1829 PERSHING RD",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405043510",
"telephone_number": "859-797-1692"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERLIN",
"first_name": "MAX",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2017-01-02",
"last_updated": "2017-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KY",
"license": "170907",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "3106244A",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.