Active NPI
Keisha Perry, PA
- Physician Assistant
- Dover, DE
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C5-0011846
- Practice address
- 8 The GRN Ste a
Dover, DE 19901-3618 - Phone
- (800) 568-7610
- NPI assigned
- Sep 8, 2015
- Reactivated
- Oct 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 14061935-1206 | UT | |
| Physician Assistant | 363A00000X | C5-0011846 | DE | Primary |
Addresses
Primary practice location
8 The GRN Ste a
Dover, DE 19901-3618
Mailing address
7209 Lancaster Pike Ste 4-222
Hockessin, DE 19707-9292
Phone (302) 412-5099
Other practice location 1
7209 Lancaster Pike Ste 4-222
Hockessin, DE 19707-9292
Phone (302) 412-5099
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA, DE
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2840 | TN | MD | Internal Medicine Physician |
| 7125 | AZ | MD | Occupational Therapist |
| 14061935-1206 | UT | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choice Pain & Rehabilitation Center, LLC | Current | Accepting new patients | |
| Ramazzini Occupational Health Associates | Current | Accepting new patients | |
| Choice Pain & Rehabilitation Center | Current | Accepting new patients | |
| Natural Center for Wellness LLC | Physician Assistant | Current | Accepting new patients |
| Centra Medical Group, LLC | Current | Accepting new patients |
Locations
7209 Lancaster Pike
Ste 4222
Hockessin, DE 19707
Phone (302) 412-5099
550 S DuPont Blvd
Ste C
Milford, DE 19963
Phone (302) 330-5051
100 Biddle Ave
Ste 101
Newark, DE 19702
Phone (302) 369-1700
8843 Greenbelt Rd
Greenbelt, MD 20770
Phone (202) 689-4398
1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101
1937 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-6965
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DFDDDD/Endpoint/DFDDDD
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Public Health & General Preventive Medicine Physician
- Newark, DE
- NPI 1831917533
-
- Family Medicine Physician
- Lynchburg, VA
- NPI 1649228966
-
- Physical Medicine & Rehabilitation Physician
- Lanham, MD
- NPI 1568809598
DE
-
- Physician Assistant
- Hockessin, DE
- NPI 1710705256
-
- Pain Medicine (Physical Medicine & Rehabilitation) Physician
- Newark, DE
- NPI 1053007898
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1441670400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1772668800000",
"number": "1447628458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7209 LANCASTER PIKE STE 4-222",
"city": "HOCKESSIN",
"state": "DE",
"postal_code": "197079292",
"telephone_number": "302-412-5099"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 THE GRN STE A",
"city": "DOVER",
"state": "DE",
"postal_code": "199013618",
"telephone_number": "800-568-7610"
}
],
"practiceLocations": [
{
"address_1": "7209 Lancaster Pike Ste 4-222",
"address_purpose": "LOCATION",
"city": "Hockessin",
"state": "DE",
"postal_code": "197079292",
"country_code": "US",
"telephone_number": "302-412-5099",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERRY",
"first_name": "KEISHA",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-08",
"last_updated": "2026-03-05",
"certification_date": "2026-03-05",
"deactivation_date": "2024-09-25",
"reactivation_date": "2024-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "14061935-1206",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "DE",
"license": "C5-0011846",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dover, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.