Active NPI
Loubelle Fernandez Perez
- Physical Therapist
- Elmhurst, NY
National Provider Identifier
1447524459
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 027791-1
- Practice address
- 5524 Van Horn St
Elmhurst, NY 11373-4360 - Phone
- (718) 446-3308
- NPI assigned
- Mar 8, 2012
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 027791-1 | NY | Primary |
Addresses
Primary practice location
5524 Van Horn St
Elmhurst, NY 11373-4360
Mailing address
7939 Calamus Ave
Unit 4B
Elmhurst, NY 11373-4167
Phone (347) 328-2427
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 027791-1 | Other | NY | NY STATE LICENSE NUMBER |
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 |
|---|---|---|---|
| 027791-1 | NY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1331164800000",
"number": "1447524459",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7939 CALAMUS AVE",
"address_2": "UNIT 4B",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734167",
"telephone_number": "347-328-2427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5524 VAN HORN ST",
"city": "ELMHURST",
"state": "NY",
"postal_code": "113734360",
"telephone_number": "718-446-3308"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "LOUBELLE",
"middle_name": "FERNANDEZ",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-03-08",
"last_updated": "2012-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "027791-1",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NY STATE LICENSE NUMBER",
"identifier": "027791-1",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Elmhurst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.