Active NPI
Jaimie Perkunas
- Physical Therapist
- Tucson, AZ
National Provider Identifier
1497879803
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7427
- Practice address
- 6626 E Calle la Paz
Unit D
Tucson, AZ 85715-4073 - Phone
- (815) 252-2795
- NPI assigned
- Mar 19, 2007
- Sex
- Female
- 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 | 7427 | AZ | Primary |
| Physical Therapist | 225100000X | 70014656 | IL |
Addresses
Primary practice location
6626 E Calle la Paz
Unit D
Tucson, AZ 85715-4073
Mailing address
713 Glenda CT
Sandwich, IL 60548
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3838 N Campbell Ave
BLDG 2
Tucson, AZ 85719-1454
Phone (520) 694-8888
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 70014656 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner Alzheimer'S Institute | Current | Accepting new patients | |
| Banner-University Medical Group | Current | Accepting new patients | |
| Banner-University Medical Group | Past | Accepting new patients |
Locations
2800 E Ajo Way
Tucson, AZ 85713
Phone (520) 294-4471
2626 E River Rd
Tucson, AZ 85718
Phone (520) 694-7021
3838 N Campbell Ave
Bldg 2
Tucson, AZ 85719
Organizations & group practices 4
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.
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- Phoenix, AZ
- NPI 1508809427
-
- Psychiatry Physician
- Phoenix, AZ
- NPI 1013966712
-
- Nutrition Education Nutritionist
- Tucson, AZ
- NPI 1508673682
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1922820935
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497879803",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 GLENDA CT",
"city": "SANDWICH",
"state": "IL",
"postal_code": "60548"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6626 E CALLE LA PAZ",
"address_2": "UNIT D",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857154073",
"telephone_number": "815-252-2795"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERKUNAS",
"first_name": "JAIMIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "7427",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "70014656",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucson, 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.
- 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.