Gerardo Perez
Individual provider Active NPI Physical Therapist · Montecito, CA
NPI 1306680988 · NPPES record last updated Jun 19, 2024
Key facts
- NPI
- 1306680988
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 306074 (CA)
- Practice address
- 1470 E Valley Rd Ste M
Montecito, CA 93108-1220 - Phone
- (805) 565-5252
- NPI assigned
- Jun 19, 2024
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
- Group practices
- Bissell Chiropractic Clinic Inc
Practice addresses (Care Compare)
1470 E Valley Rd
Suite M
Santa Barbara, CA 93108-1220
Phone (805) 565-5252
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240801004284 | CA | Practitioner - Physical Therapist in Private Practice | 2961949409 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bissell Chiropractic Clinic Inc | Physical Therapist | Current |
Accepting new patients |
Locations
1470 E Valley Rd
Ste M
Santa Barbara, CA 93108
Phone (805) 565-5252
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 306074 | CA | Yes |
Addresses
Primary practice location
1470 E Valley Rd Ste M
Montecito, CA 93108-1220
Mailing address
4326 Calle Real SPC 3
Santa Barbara, CA 93110-1057
Phone (805) 403-7827
Other providers in Montecito, CA
- Northwinds Maui Wellness & Recovery Inc.
- Occhiali
- Sarah Oh
- Hedyeh Omranipour
- Stanley Passy
- Yvette Marie Ramirez
- Nicole Jennifer Rea
- Ari Rose Rogers
- Robert G Salomon
- Gregory Mark Scarcello
All providers in Montecito, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.