Eileen Joe'L Perrigo, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

5501008072 Issued in MI

Practice address

1330 Grand Pointe CT
Grand Blanc, MI 48439-5502

Phone

(810) 695-8920

NPI assigned

Mar 20, 2018

Sex

Female

Sole proprietor

No

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 MI

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

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.

• Legacy Healthcare Services Inc

  • Physical Therapist
  • Bay City, MI
  • NPI 1942829064
  Medicare reassignment Care Compare group NPD
• Tmi East, Inc.

  • Rehabilitation Clinic/Center
  • Saginaw, MI
  • NPI 1336709252
  Medicare reassignment NPD
• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  MI, Physical Therapist

  Medicare reassignment NPD
• Legacy Healthcare Services Inc

  • Physical Therapist
  • Cary, NC
  • NPI 1225879489
  NPD

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

{
    "created_epoch": "1521504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521504000000",
    "number": "1477057875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15115 MURRAY WOODS CT",
            "city": "BYRON",
            "state": "MI",
            "postal_code": "484189053",
            "telephone_number": "810-730-3901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1330 GRAND POINTE CT",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484395502",
            "telephone_number": "810-695-8920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRIGO",
        "first_name": "EILEEN",
        "middle_name": "JOE'L",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-20",
        "last_updated": "2018-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008072",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melanie Rose Pendergrass, D.O.
• Tammy Pendleton
• Periodontal Specialists of Grand Blanc PC
• Dey Perkins
• Roman Permyakov, DO
• Chelsea Perrotta, LPTA
• Keely Perrotta
• Perry Drug Stores Inc and Subsidiaries
• Perry Drug Stores Inc and Subsidiaries
• Perry Drug Stores Inc and Subsidiaries

• Physical Therapist in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2018; 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.