Marian Ford Perillo, PT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

1750 Issued in NC

Practice address

6607 Mimosa St
Indian Trail, NC 28079

Phone

(704) 607-9989

Fax

(704) 684-4284

NPI assigned

May 26, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1180137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1526774400000",
    "number": "1750592929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6607 MIMOSA ST",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799579",
            "telephone_number": "704-607-9989",
            "fax_number": "704-684-4284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6607 MIMOSA ST",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "28079",
            "telephone_number": "704-607-9989",
            "fax_number": "704-684-4284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERILLO",
        "first_name": "MARIAN",
        "middle_name": "FORD",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-26",
        "last_updated": "2018-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NC",
            "license": "1750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ramona Gerlinde Pedemonte, P.T.
• Peds Care Inc
• Carla Kay Pegram, DPT
• Mary Pelkey
• Kristi Joyce Penouilh, OTR/L
• Joseph Perry, MD
• Jennifer R. Philbrick, LPC, NCC
• Physiotherapy Associates Inc.
• Najjiyya Amani Pinkney, COTA/L
• Julie Pittman, DPT

• Pediatric Physical Therapist in Indian Trail, NC
• Providers in Indian Trail, NC by specialty
• Pediatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 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.