Perfect Body

Primary specialty

Point of ServiceTaxonomy code 305S00000X

Legal business name

PERFECT BODY

Practice address

17051 W 10 Mile Rd
Southfield, MI 48075-2946

Phone

(248) 453-6132

NPI assigned

Jan 25, 2022

Organization subpart

No

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

Authorized official

Name

Crystal Ireland

Title

Ceo

Phone

(248) 453-6132

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1643068800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1760134282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752946",
            "telephone_number": "248-453-6132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 W 10 MILE RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752946",
            "telephone_number": "248-453-6132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECT BODY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-01-25",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "IRELAND",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "248-453-6132"
    },
    "taxonomies": [
        {
            "code": "305S00000X",
            "taxonomy_group": "",
            "desc": "Point of Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ishan Ransika Perera, DO
• Cameron Aaron Peres, MD
• Andrea Perez, MSW
• Juan Manuel Perez, M.D.
• Rommel Ramos Perez, RPT
• Performance Orthopedics of Michigan PLLC
• Jasmine Perin, MA, TLLP
• Jacquelyn Perkins
• Latrennia Evette Perkins
• Sirena Perkins

• All providers in Southfield, MI
• Point of Service in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.