Individual provider Active NPI

Mary Kristel Perez, PT

  • Physical Therapist
  • Plano, TX
National Provider Identifier
1508402637
Registry record updated Jul 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1326650 Issued in TX
Practice address
2200 Los Rios Blvd Ste 132
Plano, TX 75074-3478
Phone
(972) 509-5070
Fax
(972) 509-1557
NPI assigned
Nov 25, 2019
Last updated
Jul 26, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2023

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 1326650 TX Primary

Addresses

Primary practice location

2200 Los Rios Blvd Ste 132
Plano, TX 75074-3478

Mailing address

2200 Los Rios Blvd Ste 132
Plano, TX 75074-3478
Phone (972) 509-5070

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210216000251 TX Practitioner - Physical Therapist in Private Practice 7012322514 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elata Health and Wellness, LLCGroup PAC ID 8527359652, 6 clinicians

Practice addresses (Care Compare)

2600 Eldorado Pkwy
130 Active Life Physical Therapy
McKinney, TX 75070-7517
Phone (972) 984-7670

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
M a P Active - McKinney LLC Physical Therapist CurrentSince Dec 1, 2019 Accepting new patients
Achieve Physical Therapy and Performance Limited Partnership Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Elata Health and Wellness, LLC Physical Therapist CurrentSince Oct 2, 2020 Accepting new patients

Locations

1206 E Main St
Ste 102
Allen, TX 75002
Phone (972) 325-1390

7548 Preston Rd
Ste 145
Frisco, TX 75034
Phone (972) 712-9693

5255 N President George Bush Hwy
Ste 200
Garland, TX 75040
Phone (972) 675-3609

2600 Eldorado Pkwy
Ste 130
McKinney, TX 75070
Phone (972) 984-7670

6091 W University Dr
Ste 103
McKinney, TX 75071
Phone (469) 634-4905

631 W FM 544
Ste 200
Murphy, TX 75094
Phone (972) 200-4370

2200 Los Rios Blvd
Ste 132
Plano, TX 75074
Phone (972) 509-5070

241 N Preston Rd
Ste B
Prosper, TX 75078
Phone (214) 227-7224

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1690329600000",
    "number": "1508402637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD STE 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743478",
            "telephone_number": "972-509-5070",
            "fax_number": "972-509-1557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 LOS RIOS BLVD STE 132",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750743478",
            "telephone_number": "972-509-5070",
            "fax_number": "972-509-1557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "MARY KRISTEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-25",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1326650",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.

Verify at the official NPI Registry.