Active NPI
Marla Mathews Perez, PT
- Physical Therapist
- Gainesville, GA
National Provider Identifier
1760030910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT014298
- Practice address
- 7985 Knight Rd
Gainesville, GA 30506-6427 - Phone
- (678) 467-7264
- Fax
- (770) 781-4094
- NPI assigned
- Aug 30, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT014298 | GA | Primary |
Addresses
Primary practice location
7985 Knight Rd
Gainesville, GA 30506-6427
Mailing address
1280 Pinyon PL
Lawrenceville, GA 30043-3261
Phone (805) 807-5792
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT014298 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Walker Therapy Services | Physical Therapist | Current | Accepting new patients |
Locations
7985 Knight Rd
Gainesville, GA 30506
Phone (678) 467-7264
Organizations & group practices 1
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": "1567123200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567123200000",
"number": "1760030910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1280 PINYON PL",
"city": "LAWRENCEVILLE",
"state": "GA",
"postal_code": "300433261",
"telephone_number": "805-807-5792"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7985 KNIGHT RD",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305066427",
"telephone_number": "678-467-7264",
"fax_number": "770-781-4094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARLA",
"middle_name": "MATHEWS",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-08-30",
"last_updated": "2019-08-30",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT014298",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.