Active NPI
Arianna Perez, EIS
- Developmental Therapist
- Lytle, TX
National Provider Identifier
1306147103
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Developmental Therapist
- License
- 103955
- Practice address
- 19965 FM 3175
Lytle, TX 78052-3481 - Phone
- (210) 357-0395
- Fax
- (830) 709-5493
- NPI assigned
- Nov 10, 2010
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Developmental Therapist | 222Q00000X | 103955 | TX | Primary |
Addresses
Primary practice location
19965 FM 3175
Lytle, TX 78052-3481
Mailing address
PO Box 725
Lytle, TX 78052-0725
Phone (210) 357-0395
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10-3955 | Other | TX | LICENSE OTHER |
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 |
|---|---|---|---|
| 103955 | TX | MD | Developmental Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1289347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1289347200000",
"number": "1306147103",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 725",
"city": "LYTLE",
"state": "TX",
"postal_code": "780520725",
"telephone_number": "210-357-0395",
"fax_number": "830-709-5493"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19965 FM 3175",
"city": "LYTLE",
"state": "TX",
"postal_code": "780523481",
"telephone_number": "210-357-0395",
"fax_number": "830-709-5493"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ARIANNA",
"name_prefix": "Mrs.",
"credential": "EIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-11-10",
"last_updated": "2010-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "222Q00000X",
"taxonomy_group": "",
"desc": "Developmental Therapist",
"state": "TX",
"license": "103955",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE OTHER",
"identifier": "10-3955",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Lytle, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.