Jennifer June Perez, OT

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR693 Issued in AR

Practice address

344 Fayetteville Ave
Alma, AR 72921-3655

Phone

(479) 632-4600

NPI assigned

Feb 23, 2007

Last updated

Nov 8, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

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.

• Synergy Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Van Buren, AR
  • NPI 1598200677
  Medicare reassignment NPD
• Mobile Fees of Nwa

  • Speech-Language Pathologist
  • Fort Smith, AR
  • NPI 1275359788
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1376678912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "344 FAYETTEVILLE AVE",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729213655",
            "telephone_number": "479-632-4600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "344 FAYETTEVILLE AVE",
            "city": "ALMA",
            "state": "AR",
            "postal_code": "729213655",
            "telephone_number": "479-632-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JENNIFER",
        "middle_name": "JUNE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-23",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "004234",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR693",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "477602502",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melodee Ann Owens, M.S., CCC-SLP
• Deborah Palmer, LMT
• Maggie Patton
• Taylon Payne
• Kelli Louise Peppas
• Nakiyah Dawn Perry
• Stormy Lynn Petersen
• Tuesdai Laurean Petitt
• Jacklyn Petree
• Presley Jo Phillips, MSN, APRN, FNP-C

• Occupational Therapist in Alma, AR
• Providers in Alma, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.