Active NPI
Kenneth J. Perelli, P.T.
- Physical Therapist
- Scottsdale, AZ
National Provider Identifier
1497764773
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5740
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 030114 | NY | MD | Clinical Social Worker |
| 5740 | AZ | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shuman Physical Therapy Associates, P.C. | Physical Therapist | Past | 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.
-
- Physical Therapist
- Avon, NY
- NPI 1134256985
-
- Physical Therapist
- Geneseo, NY
- NPI 1619079860
-
- Physical Therapist
- Rochester, NY
- NPI 1003928755
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.