Active NPI
Michael Christopher Perillo, PT
- Physical Therapist
- Tempe, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8727
- Practice address
- 1972 E Baseline Rd Ste 103
Tempe, AZ 85283-1532 - Phone
- (480) 730-0502
- NPI assigned
- Nov 9, 2009
- Last updated
- Nov 9, 2009
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8727 | AZ | Primary |
Addresses
Primary practice location
1972 E Baseline Rd Ste 103
Tempe, AZ 85283-1532
Mailing address
3303 S Lindsay Rd Ste 116
Gilbert, AZ 85297-2100
Phone (480) 782-9696
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NE
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
705 N 17TH Ave
Suite 2
Ashland, NE 68003-1209
Phone (402) 944-3505
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lincoln Orthopedic Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Lincoln Orthopedic Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| Dynamic Rehab Hand Therapy, Inc. | Past | Accepting new patients |
Locations
705 N 17th Ave
Ste 2
Ashland, NE 68003
Phone (402) 944-2201
1651 N 86th St
Ste 100
Lincoln, NE 68505
Phone (402) 484-7117
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Lincoln Orthopedic Physical Therapy
- Orthopedic Physical Therapist
- Lincoln, NE
- NPI 1598719353
-
dba Lincoln Orthopedic Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Lincoln, NE
- NPI 1568837482
Physical Therapist
-
- Hand Occupational Therapist
- Gilbert, AZ
- NPI 1184631889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257724800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1257724800000",
"number": "1316274525",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3303 S LINDSAY RD STE 116",
"city": "GILBERT",
"state": "AZ",
"postal_code": "852972100",
"telephone_number": "480-782-9696"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1972 E BASELINE RD STE 103",
"city": "TEMPE",
"state": "AZ",
"postal_code": "852831532",
"telephone_number": "480-730-0502"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERILLO",
"first_name": "MICHAEL",
"middle_name": "CHRISTOPHER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-11-09",
"last_updated": "2009-11-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "8727",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tempe, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.