Joseph Perretta, C.P.

Primary specialty

Prosthetics Case ManagementTaxonomy code 1744P3200X

License

PRO84 Issued in FL

Practice address

510 SW Port St Lucie Blvd
Port St Lucie, FL 34953-1943

Phone

(772) 871-9200

Fax

(772) 336-4040

NPI assigned

Jan 25, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197504000000",
    "number": "1356497234",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531943",
            "telephone_number": "772-871-9200",
            "fax_number": "772-336-4040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 SW PORT ST LUCIE BLVD",
            "city": "PORT ST LUCIE",
            "state": "FL",
            "postal_code": "349531943",
            "telephone_number": "772-871-9200",
            "fax_number": "772-336-4040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRETTA",
        "first_name": "JOSEPH",
        "name_prefix": "Mr.",
        "credential": "C.P.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-25",
        "last_updated": "2007-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1744P3200X",
            "taxonomy_group": "",
            "desc": "Specialist, Prosthetics Case Management",
            "state": "FL",
            "license": "PRO84",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Perez
• Yadesmi Perez
• Perfect Care Alf LLC
• Lawrence Anthony Perin, M.D.
• Elizabeth M Permar, PT, DPT
• Stacey Laurein Peterkin, BT
• Christine Peterson
• Ganielle Marva Peterson, ASSISTED LIVING ADMN
• Samantha Michelle Peterson, A.R.N.P.
• William Winston Leonard Peterson III, D.C.

• Prosthetics Case Management in Port St Lucie, FL
• Providers in Port St Lucie, FL by specialty
• Prosthetics Case Management in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2007; 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.