Individual provider Active NPI

Katherine Anna Perlsweig, MS, ATC, LAT, CSCS

  • Athletic Trainer
  • San Diego, CA
National Provider Identifier
1346260593
Registry record updated Jul 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL3045 Issued in FL
Practice address
2000 Trident Way
BLDG 624
San Diego, CA 92155-5493
Phone
(619) 437-1404
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL3045 FL Primary

Addresses

Primary practice location

2000 Trident Way
BLDG 624
San Diego, CA 92155-5493

Mailing address

2000 Trident Way
BLDG 624
San Diego, CA 92155-5493
Phone (619) 437-1404

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
AL3045FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1436572800000",
    "number": "1346260593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY",
            "address_2": "BLDG 624",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555493",
            "telephone_number": "619-437-1404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 TRIDENT WAY",
            "address_2": "BLDG 624",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921555493",
            "telephone_number": "619-437-1404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERLSWEIG",
        "first_name": "KATHERINE",
        "middle_name": "ANNA",
        "credential": "MS, ATC, LAT, CSCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2015-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL3045",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2015; 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.