Active NPI
Mark H Perez, PT
- Physical Therapist
- Daytona Beach, FL
National Provider Identifier
1487788642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 120 Integra Breeze LN Ste 2C
Daytona Beach, FL 32117-5512 - Phone
- (210) 383-6442
- NPI assigned
- Mar 16, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3084 | HI | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
120 Integra Breeze LN Ste 2C
Daytona Beach, FL 32117-5512
Mailing address
120 Integra Breeze LN Ste 2C
Daytona Beach, FL 32117-5512
Phone (210) 383-2442
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3084 | HI | MD | Pediatric Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triumph Therapy Services, LLC | Single Specialty | Current | Accepting new patients |
| Triumph Physical Therapy, LLC | Single Specialty | Current | Accepting new patients |
| Triumph Therapy Services LLC | Single Specialty | Current | Accepting new patients |
| Makakilo Physical Therapy and Wellness, LLC | Past | Accepting new patients | |
| Del Rio Therapy, P.C. | Physical Therapist | Past | Accepting new patients |
| PT Hawaii, Inc. | Single Specialty | Past | Accepting new patients |
Locations
120 Integra Breeze Ln
Ste 2C
Daytona Beach, FL 32117
Phone (210) 383-6442
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.
-
- Physical Therapy Clinic/Center
- Kapolei, HI
- NPI 1134662786
-
- Physical Therapist
- Del Rio, TX
- NPI 1861573875
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174003200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1682553600000",
"number": "1487788642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "120 INTEGRA BREEZE LN STE 2C",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175512",
"telephone_number": "210-383-2442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 INTEGRA BREEZE LN STE 2C",
"city": "DAYTONA BEACH",
"state": "FL",
"postal_code": "321175512",
"telephone_number": "210-383-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARK",
"middle_name": "H",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-16",
"last_updated": "2023-04-27",
"certification_date": "2023-04-27",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "HI",
"license": "3084",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Daytona Beach, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.