Active NPI
Inmaculada C Perez
- Drama Therapist
- Philadelphia, PA
National Provider Identifier
1386399194
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Drama Therapist
- Practice address
- 3803-05 N 5TH
Philadelphia, PA 19140 - Phone
- (215) 539-2473
- NPI assigned
- Feb 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Drama Therapist | 101200000X | PA | Primary |
Addresses
Primary practice location
3803-05 N 5TH
Philadelphia, PA 19140
Mailing address
5319 Castor Ave
Philadelphia, PA 19124-1022
Phone (215) 869-9094
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01 | Other | PA | MEDICARE |
| 2ERKP | Other | PA | YES |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1645401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645401600000",
"number": "1386399194",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5319 CASTOR AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191241022",
"telephone_number": "215-869-9094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3803-05 N 5TH",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "19140",
"telephone_number": "215-539-2473"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "INMACULADA",
"middle_name": "C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-02-21",
"last_updated": "2022-02-21",
"certification_date": "2022-01-25",
"status": "A"
},
"taxonomies": [
{
"code": "101200000X",
"taxonomy_group": "",
"desc": "Drama Therapist",
"state": "PA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE",
"identifier": "01",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "YES",
"identifier": "2ERKP",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.