Individual provider Active NPI

Felix Eduardo Perez, P.T.

  • Physical Therapist
  • Cliffside Park, NJ
National Provider Identifier
1396280814
Registry record updated Oct 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
40QA01848600 Issued in NJ
Practice address
704 Hillside Ave
Cliffside Park, NJ 07010-2010
Phone
(323) 810-7244
NPI assigned
Dec 20, 2016
Last updated
Oct 31, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 292534 CA
Physical Therapist 225100000X 40QA01848600 NJ Primary

Addresses

Primary practice location

704 Hillside Ave
Cliffside Park, NJ 07010-2010

Mailing address

704 Hillside Ave
Cliffside Park, NJ 07010-2010
Phone (323) 810-7244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190416000019 NJ Practitioner - Physical Therapist in Private Practice 0143506840 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
292534CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calidad Rehab Services LLC Physical Therapist CurrentSince Feb 15, 2022 Accepting new patients
Balanced Body Rehabilitation LLC Physical Therapist CurrentSince Mar 19, 2019 Accepting new patients

Locations

111 Dean Dr
Ste 1N
Tenafly, NJ 07670
Phone (201) 402-7802

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1482192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667174400000",
    "number": "1396280814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 HILLSIDE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102010",
            "telephone_number": "323-810-7244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 HILLSIDE AVE",
            "city": "CLIFFSIDE PARK",
            "state": "NJ",
            "postal_code": "070102010",
            "telephone_number": "323-810-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "FELIX",
        "middle_name": "EDUARDO",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-12-20",
        "last_updated": "2022-10-31",
        "certification_date": "2022-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "292534",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01848600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cliffside Park, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2022; 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.