Individual provider Active NPI

Jazzeline Nicole Perez, DPT

  • Physical Therapist
  • Stamford, CT
National Provider Identifier
1760713358
Registry record updated Feb 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008612 Issued in CT
Practice address
31 Strawberry Hill Ave
Stamford, CT 06902-2681
Phone
(203) 516-0953
Fax
(203) 763-1744
NPI assigned
Jan 20, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2025

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 008612 CT Primary

Addresses

Primary practice location

31 Strawberry Hill Ave
Stamford, CT 06902-2681

Mailing address

31 Strawberry Hill Ave
Stamford, CT 06902-2681
Phone (203) 516-0953

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250214000766 CT Practitioner - Physical Therapist in Private Practice 9032649413 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8612CTMDClinical Social Worker
008612CTMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
RGG Health LLC Physical Therapist CurrentSince Feb 11, 2025 Accepting new patients

Locations

31 Strawberry Hill Ave
Stamford, CT 06902
Phone (203) 325-8888

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263945600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739059200000",
    "number": "1760713358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 STRAWBERRY HILL AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022681",
            "telephone_number": "203-516-0953",
            "fax_number": "203-763-1744"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 STRAWBERRY HILL AVE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022681",
            "telephone_number": "203-516-0953",
            "fax_number": "203-763-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JAZZELINE",
        "middle_name": "NICOLE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-20",
        "last_updated": "2025-02-09",
        "certification_date": "2025-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008612",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.