Individual provider Active NPI

Kenneth J. Perelli, P.T.

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1497764773
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5740 Issued in AZ
Practice address
9700 N 91St St
Suite a-115
Scottsdale, AZ 85258-5054
Phone
(480) 922-1376
Fax
(480) 922-8783
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5740 AZ Primary

Addresses

Primary practice location

9700 N 91St St
Suite a-115
Scottsdale, AZ 85258-5054

Mailing address

9700 N 91St St
Suite a-115
Scottsdale, AZ 85258-5054
Phone (480) 922-1376

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

LicenseStateTypeSpecialty
030114NYMDClinical Social Worker
5740AZMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Shuman Physical Therapy Associates, P.C. Physical Therapist PastSince Jul 29, 2020 Accepting new patients
Lattimore of Geneseo Physical Therapy PC Physical Therapist Past Accepting new patients
Lattimore of Geneseo Physical Therapy PC Physical Therapist Past Accepting new patients

Organizations & group practices 3

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": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1497764773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST",
            "address_2": "SUITE A-115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585054",
            "telephone_number": "480-922-1376",
            "fax_number": "480-922-8783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9700 N 91ST ST",
            "address_2": "SUITE A-115",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852585054",
            "telephone_number": "480-922-1376",
            "fax_number": "480-922-8783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERELLI",
        "first_name": "KENNETH",
        "middle_name": "J.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5740",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.