Active NPI
Brenna A Perez, OT
- Occupational Therapist
- Las Cruces, NM
National Provider Identifier
1306342183
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 3894
- Practice address
- 4151 Camino Coyote
Las Cruces, NM 88011-7096 - Phone
- (575) 522-0484
- Fax
- (575) 522-0483
- NPI assigned
- Apr 2, 2018
- Last updated
- Apr 2, 2018
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3894 | NM | Primary |
Addresses
Primary practice location
4151 Camino Coyote
Las Cruces, NM 88011-7096
Mailing address
4151 Camino Coyote
Las Cruces, NM 88011-7096
Phone (157) 552-2048
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3894 | NM | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522627200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1522627200000",
"number": "1306342183",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4151 CAMINO COYOTE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117096",
"telephone_number": "157-552-2048",
"fax_number": "575-522-0483"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4151 CAMINO COYOTE",
"city": "LAS CRUCES",
"state": "NM",
"postal_code": "880117096",
"telephone_number": "575-522-0484",
"fax_number": "575-522-0483"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "BRENNA",
"middle_name": "A",
"name_prefix": "Miss",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-04-02",
"last_updated": "2018-04-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NM",
"license": "3894",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Cruces, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 2, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.