Active NPI
Jerusha Peram, PT
- Physical Therapist
- Kennebunk, ME
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT7464
- Practice address
- 65 Portland Rd Ste 5
Kennebunk, ME 04043-6742 - Phone
- (207) 985-6181
- NPI assigned
- Aug 14, 2023
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 40QA02196100 | NJ | |
| Physical Therapist | 225100000X | PT7464 | ME | Primary |
| Physical Therapist | 225100000X | PT44221 | FL | |
| Physical Therapist | 225100000X | CP048807T | NH |
Addresses
Primary practice location
65 Portland Rd Ste 5
Kennebunk, ME 04043-6742
Mailing address
37 Main St
Conway, NH 03818-6166
Phone (603) 447-2533
Other practice location 1
7410 Boynton Beach Blvd Ste A11
Boynton Beach, FL 33437-6157
Phone (561) 731-0163
Other practice location 2
37 Main St
Conway, NH 03818-6166
Phone (603) 447-2533
Other practice location 3
1077 Route 34 Ste M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ, NH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1077 State Route 34
Suite M
Aberdeen, NJ 07747-2151
Phone (732) 970-7882
65 Portland Rd
Suite 5
Kennebunk, ME 04043-6742
Phone (207) 985-6181
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT44221 | FL | MD | Physical Therapist |
| CP048807T | NH | MD | Physical Therapist |
| 40QA02196100 | NJ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proform Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Proform Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Saco Bay Orthopaedic and Sports Physical Therapy, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
37 Main St
Conway, NH 03818
Phone (603) 447-2533
75 Newport Rd
Unit 4
New London, NH 03257
Phone (603) 526-2781
510 State Route 18
East Brunswick, NJ 08816
Phone (732) 554-8330
1077 State Route 34
Ste M
Matawan, NJ 07747
Phone (732) 970-7882
2665 Highway 516
Old Bridge, NJ 08857
Phone (732) 952-8826
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.
-
- Physical Therapist
- Aberdeen, NJ
- NPI 1073958351
-
- Physical Therapy Clinic/Center
- New London, NH
- NPI 1548837065
Physical Therapist
-
- Physical Therapist
- Edison, NJ
- NPI 1861047854
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1781136000000",
"number": "1720861966",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "37 MAIN ST",
"city": "CONWAY",
"state": "NH",
"postal_code": "038186166",
"telephone_number": "603-447-2533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 PORTLAND RD STE 5",
"city": "KENNEBUNK",
"state": "ME",
"postal_code": "040436742",
"telephone_number": "207-985-6181"
}
],
"practiceLocations": [
{
"address_1": "7410 Boynton Beach Blvd Ste A11",
"address_purpose": "LOCATION",
"city": "Boynton Beach",
"state": "FL",
"postal_code": "334376157",
"country_code": "US",
"telephone_number": "561-731-0163",
"fax_number": "561-731-1886",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "37 Main St",
"address_purpose": "LOCATION",
"city": "Conway",
"state": "NH",
"postal_code": "038186166",
"country_code": "US",
"telephone_number": "603-447-2533",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1077 Route 34 Ste M",
"address_purpose": "LOCATION",
"city": "Aberdeen",
"state": "NJ",
"postal_code": "077472151",
"country_code": "US",
"telephone_number": "732-970-7882",
"fax_number": "732-970-7883",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PERAM",
"first_name": "JERUSHA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-14",
"last_updated": "2026-06-11",
"certification_date": "2026-06-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NJ",
"license": "40QA02196100",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "ME",
"license": "PT7464",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT44221",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NH",
"license": "CP048807T",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kennebunk, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2026; 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.