Active NPI
Tina Louise Perry, OTR
- Occupational Therapist
- Cooper City, FL
National Provider Identifier
1649330424
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OT10455
- Practice address
- 5846 S Flamingo Rd
Cooper City, FL 33330-3237 - Phone
- (954) 680-0488
- Fax
- (954) 252-6073
- NPI assigned
- Dec 11, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OT10455 | FL | Primary |
Addresses
Primary practice location
5846 S Flamingo Rd
Cooper City, FL 33330-3237
Mailing address
7971 NW 30TH St
Hollywood, FL 33024-2208
Phone (954) 471-5458
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2002
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
234 Mall Blvd
Suite G50
King of Prussia, PA 19406-2921
N50W16002 Maple Crest LN
Menomonee Falls, WI 53051
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT10455 | FL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inhometherapy Inc | Occupational Therapist | Current | Accepting new patients |
Locations
6141 Lake Worth Rd
Greenacres, FL 33463
Phone (561) 963-4577
234 Mall Blvd
Ste G50
King of Prussia, PA 19406
Phone (610) 379-2852
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165795200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1649330424",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7971 NW 30TH ST",
"city": "HOLLYWOOD",
"state": "FL",
"postal_code": "330242208",
"telephone_number": "954-471-5458"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5846 S FLAMINGO RD",
"city": "COOPER CITY",
"state": "FL",
"postal_code": "333303237",
"telephone_number": "954-680-0488",
"fax_number": "954-252-6073"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "TINA",
"middle_name": "LOUISE",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-11",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "OT10455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cooper City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.