Individual provider Active NPI

Vincent Prakash Peries Jr., DPT

  • Physical Therapist
  • Scottsdale, AZ
National Provider Identifier
1720296346
Registry record updated Sep 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6488 Issued in AZ
Practice address
9475 E Ironwood Square Dr
Scottsdale, AZ 85258-4576
Phone
(480) 778-1400
Fax
(480) 778-0400
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 11, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6488 AZ Primary
Sports Physical Therapist 2251S0007X 6488 AZ
Orthopedic Physical Therapist 2251X0800X 6488 AZ

Addresses

Primary practice location

9475 E Ironwood Square Dr
Scottsdale, AZ 85258-4576

Mailing address

5039 E Lucia Dr
Cave Creek, AZ 85331-2338
Phone (480) 220-0811

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080828000250 AZ Practitioner - Physical Therapist in Private Practice 1951477934 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Synergy Physical Therapy and Performance Health, LLCGroup PAC ID 7416023494, 2 clinicians

Practice addresses (Care Compare)

9941 N 95TH St
Suite 102
Scottsdale, AZ 85258-4610
Phone (480) 767-0794

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6488AZMDSports Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Synergy Physical Therapy & Performance Health, LLC Physical Therapist CurrentSince Jun 1, 2008 Accepting new patients
Dynamic Performance PastSince Aug 25, 2019 Accepting new patients
Athletic Institute of Medicine LTD Past Accepting new patients

Locations

9941 N 95th St
Ste 102
Scottsdale, AZ 85258
Phone (480) 767-0794

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757548800000",
    "number": "1720296346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5039 E LUCIA DR",
            "city": "CAVE CREEK",
            "state": "AZ",
            "postal_code": "853312338",
            "telephone_number": "480-220-0811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9475 E IRONWOOD SQUARE DR",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852584576",
            "telephone_number": "480-778-1400",
            "fax_number": "480-778-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERIES",
        "first_name": "VINCENT",
        "middle_name": "PRAKASH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2025-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "6488",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "AZ",
            "license": "6488",
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "6488",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Scottsdale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.