Clarissa Perez, ATC, LAT

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

AT7829 Issued in TX

Practice address

1 Coyote TRL
Alice, TX 78332-4061

Phone

(361) 664-0126

NPI assigned

May 10, 2022

Last updated

May 10, 2022By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1652140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652140800000",
    "number": "1568108892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1405 ROSE DR",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324029",
            "telephone_number": "361-207-0467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 COYOTE TRL",
            "city": "ALICE",
            "state": "TX",
            "postal_code": "783324061",
            "telephone_number": "361-664-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "CLARISSA",
        "credential": "ATC, LAT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-05-10",
        "last_updated": "2022-05-10",
        "certification_date": "2022-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "TX",
            "license": "AT7829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Denise Pena, FNP
• Penjamo Inc. (Our Brother's Keeper Provider Services)
• Michelle Ann Perales
• Judy G Perdue, NP
• Alyssa Perez
• Elena Perez
• Elizabeth Perez, O.D.
• Kristina Lamar Perez, MS., LPC
• Maria Annabel Perez, NP
• Pedro Perez III

• Athletic Trainer in Alice, TX
• Providers in Alice, TX by specialty
• Athletic Trainer in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2022; 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.