Isis Joyce Peralta, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

049936 Issued in NY

Practice address

13508 Lefferts Blvd
South Ozone Park, NY 11420-3602

Phone

(718) 322-6290

NPI assigned

Apr 24, 2023

Sex

Female

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• New York City Health and Hospitals Corporation

  dba Gouverneur Healthcare Services

  • Clinic/Center
  • New York, NY
  • NPI 1548208127
  Medicare reassignment
• Pro Motion Physical Therapy,P.C.

  • Physical Therapist
  • Monroe, NY
  • NPI 1083724264
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1682294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682294400000",
    "number": "1457049942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 MANHATTAN AVE APT 3L",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112222971",
            "telephone_number": "804-728-9415"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13508 LEFFERTS BLVD",
            "city": "SOUTH OZONE PARK",
            "state": "NY",
            "postal_code": "114203602",
            "telephone_number": "718-322-6290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "ISIS JOYCE",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-24",
        "last_updated": "2023-04-24",
        "certification_date": "2023-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "049936",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Park Diagnostics Laboratories LLC
• Park Health Pharmacy Inc (parkhealth pharmacy)
• Park Neurological Services, P.C.
• Salvatore Pavone, DMD
• Clausel Payen
• Susan A Perez, MASTERS IN EDUCATION
• Ashley Venita Persaud
• Jennifer Persaud
• Nalini Shalini Persaud, LCSW
• Rishana Persaud

• Physical Therapist in South Ozone Park, NY
• Providers in South Ozone Park, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.