Mitzi K Peronia, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT672 Issued in AR

Practice address

9 Cunningham Cor
Bella Vista, AR 72714-3520

Phone

(479) 855-6814

NPI assigned

Jul 31, 2007

Sex

Female

Sole proprietor

No

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.

• Premiere Physical Therapy and Sports Rehab LLC

  • Physical Therapy Clinic/Center
  • Bentonville, AR
  • NPI 1134258981

  Physical Therapist

  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 9, 2014.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412812800000",
    "number": "1497945869",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1350 S GUTENSOHN RD",
            "address_2": "STE 10",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727625117",
            "telephone_number": "479-751-7122",
            "fax_number": "479-751-7292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CUNNINGHAM COR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727143520",
            "telephone_number": "479-855-6814"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERONIA",
        "first_name": "MITZI",
        "middle_name": "K",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-31",
        "last_updated": "2014-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ozark Voice LLC
• Heather Pahl, IBCLC
• Marc Paine, M.DIV., M.S., LAC
• Kimberle S Patterson, FNP-C
• Gloria Jean Pense, OT
• Jocelyn Peterson, LMFT, LPC
• Paul Wynn Peterson, LAMFT
• Michal Maranto Phillips, M.D.
• Carol Ann Piatkowski, APRN
• Alexis Pinos

• All providers in Bella Vista, AR
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2014; 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.