Active NPI
Saundra J Perry, P.T.
- Orthopedic Physical Therapist
- Southold, NY
National Provider Identifier
1417906116
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 06894
- Practice address
- 57190 Main Rd
Southold, NY 11971-4750 - Phone
- (631) 765-3620
- Fax
- (631) 765-0013
- NPI assigned
- May 9, 2006
- Last updated
- Jul 13, 2026
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 06894 | NY | |
| Cardiopulmonary Physical Therapist | 2251C2600X | 06894 | NY | |
| Geriatric Physical Therapist | 2251G0304X | 06894 | NY | |
| Neurology Physical Therapist | 2251N0400X | 06894 | NY | |
| Pediatric Physical Therapist | 2251P0200X | 06894 | NY | |
| Orthopedic Physical Therapist | 2251X0800X | 06894 | NY | Primary |
Addresses
Primary practice location
57190 Main Rd
Southold, NY 11971-4750
Mailing address
57190 Main Rd
Pobox 1824
Southold, NY 11971-4750
Phone (631) 765-3620
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| A2527929 | Other | NY | ORTHONET |
| AZ00670 | Other | NY | MDNY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 06894 | NY | MD | Orthopedic Physical Therapist |
Organizations & group practices 1
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.
-
- Physical Therapist
- Southold, NY
- NPI 1740226679
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147132800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1417906116",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "57190 MAIN RD",
"address_2": "POBOX 1824",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119714750",
"telephone_number": "631-765-3620",
"fax_number": "631-765-0013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "57190 MAIN RD",
"city": "SOUTHOLD",
"state": "NY",
"postal_code": "119714750",
"telephone_number": "631-765-3620",
"fax_number": "631-765-0013"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "SAUNDRA",
"middle_name": "J",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-09",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "06894",
"primary": false
},
{
"code": "2251C2600X",
"taxonomy_group": "",
"desc": "Physical Therapist, Cardiopulmonary",
"state": "NY",
"license": "06894",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "NY",
"license": "06894",
"primary": false
},
{
"code": "2251N0400X",
"taxonomy_group": "",
"desc": "Physical Therapist, Neurology",
"state": "NY",
"license": "06894",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NY",
"license": "06894",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "NY",
"license": "06894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET",
"identifier": "A2527929",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MDNY",
"identifier": "AZ00670",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Southold, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.