Individual provider Active NPI

Keisha Perry, PA

  • Physician Assistant
  • Dover, DE
National Provider Identifier
1447628458
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
C5-0011846 Issued in DE
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

Updated by the provider on Mar 5, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200211002932 VA Practitioner - Physician Assistant 1355651993 Reassigns benefits to 2 organizations
I20230730000014 DE Practitioner - Physician Assistant 1355651993 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
2840TNMDInternal Medicine Physician
7125AZMDOccupational Therapist
14061935-1206UTMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Pain & Rehabilitation Center, LLC CurrentSince May 29, 2023 Accepting new patients
Ramazzini Occupational Health Associates CurrentSince Dec 8, 2025 Accepting new patients
Choice Pain & Rehabilitation Center CurrentSince May 29, 2023 Accepting new patients
Natural Center for Wellness LLC Physician Assistant CurrentSince Jul 13, 2025 Accepting new patients
Centra Medical Group, LLC CurrentSince Jul 1, 2022 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

  • FHIR API: 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.

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

Verify at the official NPI Registry.