Jeff Pereras, LPTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2306604928 Issued in VA

Practice address

4225 Shore Dr
Virginia Beach, VA 23455-2870

Phone

(757) 460-8868

NPI assigned

Jun 4, 2021

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": "1622764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622764800000",
    "number": "1417524943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "804 CORNWALL CT",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234642382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4225 SHORE DR",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234552870",
            "telephone_number": "757-460-8868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERERAS",
        "first_name": "JEFF",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-06-04",
        "last_updated": "2021-06-04",
        "certification_date": "2021-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306604928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Peppenhorst
• Janice Pepper
• Zoe Micaela Peralta-Page, LMHC, LPC
• Jose R Pereira, M.D.
• Michelle Lynn Pereira, DPT
• Belinda Perez-Ramos
• Kiara M Perez
• Leo Alexander Perez, SOIDC
• Tina Liyne Perez, DMIN, MA, LPC
• Coi Perhase, BCBA

• Physical Therapy Assistant in Virginia Beach, VA
• Providers in Virginia Beach, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2021; 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.