Active NPI
Johnson John Perakattu
- Physical Therapy Assistant
- Missouri City, TX
National Provider Identifier
1508348939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2133117
- Practice address
- 4422 Riverstone Blvd
Missouri City, TX 77459-7150 - Phone
- (281) 499-5040
- NPI assigned
- Sep 1, 2018
- 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 Therapy Assistant | 225200000X | 2133117 | TX | Primary |
Addresses
Primary practice location
4422 Riverstone Blvd
Missouri City, TX 77459-7150
Mailing address
4422 Riverstone Blvd
Missouri City, TX 77459
Phone (281) 499-5040
Other practice location 1
10800 Flora Mae Meadows
Houston, TX 77089-7150
Phone (832) 328-2350
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2133117 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1535760000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1535760000000",
"number": "1508348939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4422 RIVERSTONE BLVD",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "77459",
"telephone_number": "281-499-5040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4422 RIVERSTONE BLVD",
"city": "MISSOURI CITY",
"state": "TX",
"postal_code": "774597150",
"telephone_number": "281-499-5040"
}
],
"practiceLocations": [
{
"address_1": "10800 Flora Mae Meadows",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770897150",
"country_code": "US",
"telephone_number": "832-328-2350",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERAKATTU",
"first_name": "JOHNSON",
"middle_name": "JOHN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-09-01",
"last_updated": "2018-09-01",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2133117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Missouri City, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.