Individual provider Active NPI

Jennifer Ellen Peraino-Martinez, PTA

  • Physical Therapy Assistant
  • McAllen, TX
National Provider Identifier
1720580418
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2078855 Issued in TX
Practice address
1900 S Jackson Rd Ste 2
McAllen, TX 78503-1589
Phone
(956) 630-4400
Fax
(956) 630-4447
NPI assigned
Mar 8, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2078855 TX Primary

Addresses

Primary practice location

1900 S Jackson Rd Ste 2
McAllen, TX 78503-1589

Mailing address

18714 N FM 493
Edinburg, TX 78542-5259
Phone (956) 393-8334

Other names 1

  • Jennifer Peraino Professional name

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

State licenses

LicenseStateTypeSpecialty
2078855TXMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1520467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520467200000",
    "number": "1720580418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18714 N FM 493",
            "city": "EDINBURG",
            "state": "TX",
            "postal_code": "785425259",
            "telephone_number": "956-393-8334",
            "fax_number": "956-630-4447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 S JACKSON RD STE 2",
            "city": "MCALLEN",
            "state": "TX",
            "postal_code": "785031589",
            "telephone_number": "956-630-4400",
            "fax_number": "956-630-4447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERAINO-MARTINEZ",
        "first_name": "JENNIFER",
        "middle_name": "ELLEN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-08",
        "last_updated": "2018-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2078855",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "PERAINO",
            "credential": "PTA",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in McAllen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2018; 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.