Patrick Pereira, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01859700 Issued in NJ

Practice address

300 South Ave Ste 14
Garwood, NJ 07027-1349

Phone

(908) 789-1700

NPI assigned

Jun 14, 2019

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ, FL, NC3 enrollments

Enrollment records 3

Specialty

Physical Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Life Home Therapy LLCGroup PAC ID 1254746340, 50 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Life Home Therapy LLC

  • Physical Therapist
  • Livingston, NJ
  • NPI 1467048777
  Medicare reassignment Care Compare group NPD
• Life Home Therapy Inc.

  • Physical Therapist
  • Miami, FL
  • NPI 1992530463
  Medicare reassignment NPD
• Life Home Therapy NC LLC

  • Physical Therapist
  • Roxboro, NC
  • NPI 1679442081
  Medicare reassignment NPD

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

{
    "created_epoch": "1560470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1560470400000",
    "number": "1508426347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 US HIGHWAY 22",
            "city": "MOUNTAINSIDE",
            "state": "NJ",
            "postal_code": "070922808",
            "telephone_number": "908-389-9100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 SOUTH AVE STE 14",
            "city": "GARWOOD",
            "state": "NJ",
            "postal_code": "070271349",
            "telephone_number": "908-789-1700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREIRA",
        "first_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-14",
        "last_updated": "2019-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01859700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• New Jersey CVS Pharmacy LLC (CVS Pharmacy 04131)
• Ana M Nistal, RPH
• Ilana Ostrovsky, RPH
• Partnerships for People, Inc.
• Pathmark Stores Inc (Pathmark Pharmacy)
• Breyn R Peters-Schuster, D.D.S., M.S.D
• Gabriella Porter, MSN, FNP-BC
• Leonardo A Ramos
• Craig Rosenthal, DDS
• RWJ Rahway Carecenter, LLC

• Physical Therapist in Garwood, NJ
• Providers in Garwood, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2019; 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.