Ryan Perez, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1327128 Issued in TX

Practice address

2800 E Highway 114 Ste 120
Trophy Club, TX 76262-5305

Phone

(817) 491-3403

Fax

(817) 491-3308

NPI assigned

Nov 2, 2018

Last updated

Feb 26, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Elevation Athletics Physical Therapy and Performance

  • Physical Therapy Clinic/Center
  • Fort Worth, TX
  • NPI 1205590700
  NPD Authorized official
• Coppell Spine & Sports Rehab Limited Partnership

  dba Therapy Partners of North Texas

  • Physical Therapy Clinic/Center
  • Coppell, TX
  • NPI 1669490629
  NPD (past)
• Coppell Spine & Sports Rehab Limited Partnership

  • Physical Therapist
  • Haslet, TX
  • NPI 1770123481
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1541116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582675200000",
    "number": "1326516840",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2650",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750198607",
            "telephone_number": "972-724-2400",
            "fax_number": "972-724-2495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E HIGHWAY 114 STE 120",
            "city": "TROPHY CLUB",
            "state": "TX",
            "postal_code": "762625305",
            "telephone_number": "817-491-3403",
            "fax_number": "817-491-3308"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10800 Magnolia Ave",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925053043",
            "country_code": "US",
            "telephone_number": "951-353-2000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RYAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-11-02",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1327128",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anthonia Oyedele, NP
• Parkview Dental, PLLC
• Kelley Meehan Pearson, PT, PCS
• Laura E. Pena, M.D.
• Jessica Perez, PT
• Sydney Pettyjohn, RN, IBCLC
• Hong Hanh Tanis Phan
• Pro Physicians Clinic PA
• Randalls Food & Drugs LP (Tom Thumb Pharmacy #1789)
• Jacquelyn Rapp

• Physical Therapist in Trophy Club, TX
• Providers in Trophy Club, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.