Individual provider Active NPI

Richard Paul Perez, RPT

  • Physical Therapist
  • Port Townsend, WA
National Provider Identifier
1720066756
Registry record updated Apr 4, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
60132077 Issued in WA
Practice address
1215 Lawrence St
Ste 204
Port Townsend, WA 98368-6559
Phone
(360) 385-1035
Fax
(360) 385-4395
NPI assigned
Jan 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 4, 2017

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 60132077 WA Primary

Addresses

Primary practice location

1215 Lawrence St
Ste 204
Port Townsend, WA 98368-6559

Mailing address

1215 Lawrence St
Ste 101
Port Townsend, WA 98368-6559
Phone (360) 385-1035

Other identifiers 2

IdentifierTypeStateIssuer
60132077OtherWAPHYSICAL THERAPY LICENSE
ZZZ2533ZOtherWABLUE CROSS ID

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
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
13227CAMDMarriage & Family Therapist
60132077WAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Socal Rehab Associates Inc Physical Therapist PastSince Jan 12, 2004 Accepting new patients
Caduceus Physicians Medical Group Physical Therapist PastSince Jan 15, 2016 Accepting new patients

Organizations & group practices 2

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": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491264000000",
    "number": "1720066756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 LAWRENCE ST",
            "address_2": "STE 101",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686559",
            "telephone_number": "360-385-1035",
            "fax_number": "360-385-4395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 LAWRENCE ST",
            "address_2": "STE 204",
            "city": "PORT TOWNSEND",
            "state": "WA",
            "postal_code": "983686559",
            "telephone_number": "360-385-1035",
            "fax_number": "360-385-4395"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "RICHARD",
        "middle_name": "PAUL",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2017-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "60132077",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "60132077",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ID",
            "identifier": "ZZZ2533Z",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Townsend, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2017; 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.