Active NPI
Ayishat Abiona Perry
- Physical Therapist
- Mansfield, TX
National Provider Identifier
1396429387
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1149940
- Practice address
- 250 E Debbie LN
Mansfield, TX 76063-9240 - Phone
- (334) 421-7555
- NPI assigned
- Jun 12, 2023
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1149940 | TX | Primary |
Addresses
Primary practice location
250 E Debbie LN
Mansfield, TX 76063-9240
Mailing address
904 Mazatlan CT
Arlington, TX 76002-6611
Phone (334) 421-7555
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1149940 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1686528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1686528000000",
"number": "1396429387",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "904 MAZATLAN CT",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760026611",
"telephone_number": "334-421-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "250 E DEBBIE LN",
"city": "MANSFIELD",
"state": "TX",
"postal_code": "760639240",
"telephone_number": "334-421-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "AYISHAT",
"middle_name": "ABIONA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-06-12",
"last_updated": "2023-06-12",
"certification_date": "2023-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1149940",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mansfield, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.