Individual provider Active NPI

Katelyn Perez, PT, DPT

  • Physical Therapist
  • Bentonville, AR
National Provider Identifier
1730861394
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT5324 Issued in AR
Practice address
428 NW 59 Ave
Bentonville, AR 72713-4030
Phone
(000) 000-0000
NPI assigned
Aug 3, 2023
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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 PT5324 AR Primary

Addresses

Primary practice location

428 NW 59 Ave
Bentonville, AR 72713-4030

Mailing address

428 NW 59 Ave
Bentonville, AR 72713-4030
Phone (000) 000-0000

Other names 1

  • Katelyn Jennings Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230828000015 AR Practitioner - Physical Therapist in Private Practice 7416310206 Reassigns benefits to 1 organization

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
Rise Physical Therapy IncGroup PAC ID 9133400203, 35 clinicians

Practice addresses (Care Compare)

5104 S Pinnacle Hills Pkwy
Suite 1C
Rogers, AR 72758-6076
Phone (479) 337-7345

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT5324ARMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rise Physical Therapy, Inc. CurrentSince Jun 30, 2025 Accepting new patients
Rise Physical Therapy, Inc. Physical Therapist CurrentSince Jun 30, 2025 Accepting new patients

Locations

2905 S Walton Blvd
Ste 5
Bentonville, AR 72712
Phone (479) 595-8667

2668 E Citizens Dr
Ste 5
Fayetteville, AR 72703
Phone (479) 442-7473

5104 S Pinnacle Hills Pkwy
Ste 1C
Rogers, AR 72758
Phone (479) 337-7345

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1691020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1730861394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "428 NW 59 AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727134030",
            "telephone_number": "000-000-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "428 NW 59 AVE",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727134030",
            "telephone_number": "000-000-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "KATELYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-08-03",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT5324",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATELYN",
            "last_name": "JENNINGS",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 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.

Verify at the official NPI Registry.