Ma Amil Perilla

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

22550 Issued in MD

Practice address

201 Hall Highway
Crisfield, MD 21817

Phone

(410) 968-1200

Fax

(410) 968-3178

NPI assigned

Dec 22, 2009

Reactivated

Aug 24, 2012

Last updated

Aug 27, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1740519784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HALL HIGHWAY",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "21817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HALL HIGHWAY",
            "city": "CRISFIELD",
            "state": "MD",
            "postal_code": "21817",
            "telephone_number": "410-968-1200",
            "fax_number": "410-968-3178"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLA",
        "first_name": "MA AMIL",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2012-08-27",
        "deactivation_date": "2012-04-16",
        "reactivation_date": "2012-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "19495",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "22550",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "29927",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charles Morris Jr.
• Colette Naime Outten, PT, DPT
• Jodi Marie Parsons, LMSW
• Terry H Passano, R.D.
• Peninsual Regional Medical Center
• Michael C Rabel, MPT, D.SC., OCS
• Bruce Cluff Ramsay, DDS
• Heather Lee Shelton, LCSW-C
• Somerset Health Services LLC (Crisfield Discount Pharmacy)
• Somerset Primary Care

• Physical Therapist in Crisfield, MD
• Providers in Crisfield, MD by specialty
• Physical Therapist in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; 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.