Active NPI
Jaclyn Michaela Perakis, DPT
- Physical Therapist
- El Centro, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43480
- Practice address
- 426 N Imperial Ave
El Centro, CA 92243-2329 - Phone
- (760) 592-8148
- Fax
- (760) 841-5556
- NPI assigned
- Dec 3, 2015
- Sex
- Female
- Sole proprietor
- No
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 | 43480 | CA | Primary |
Addresses
Primary practice location
426 N Imperial Ave
El Centro, CA 92243-2329
Mailing address
3760 Convoy St Ste 101
San Diego, CA 92111-3743
Phone (858) 264-1434
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1020 Tierra del Rey
Suite a 1
Chula Vista, CA 91910-7886
Phone (619) 585-7104
1602 A N Imperial Ave
El Centro, CA 92243-1319
Phone (760) 299-7741
2300 N Imperial Ave
Suite H
Calexico, CA 92231-3209
Phone (760) 890-7050
2600 Dallas Pkwy
Suite 290
Frisco, TX 75034-7493
409 W Main St
Brawley, CA 92227-2244
Phone (760) 925-3031
426 N Imperial Ave
El Centro, CA 92243-2329
Phone (760) 592-8148
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.68 of 100
- Quality
- 36.29
- Improvement activities
- 40
- Cost
- 68.85
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| MDRS Spine & Sport, Inc | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Current | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
| Eggleton & Langton Physical Therapy Management Services | Physical Therapist | Past | Accepting new patients |
Locations
409 W Main St
Brawley, CA 92227
Phone (760) 925-3031
2300 N Imperial Ave
Ste H
Calexico, CA 92231
Phone (607) 890-7050
450 Rosewood Ave
Ste 105
Camarillo, CA 93010
Phone (805) 389-4781
1020 Tierra del Rey
Ste A1
Chula Vista, CA 91910
Phone (619) 585-7104
426 N Imperial Ave
El Centro, CA 92243
Phone (760) 592-8148
1611 W Main St
El Centro, CA 92243
Phone (760) 337-1144
317 N El Camino Real
Ste 210
Encinitas, CA 92024
Phone (760) 337-1144
14150 Culver Dr
Ste 103
Irvine, CA 92604
Phone (949) 262-9142
9852 Business Park Dr
Ste A
Sacramento, CA 95827
Phone (916) 362-7962
3760 Convoy St
Ste 101
San Diego, CA 92111
Phone (858) 264-1434
3707 Convoy St
Ste 100
San Diego, CA 92111
Phone (858) 573-9368
1801 Cleveland Ave
Ste B
Santa Rosa, CA 95401
Phone (707) 526-4180
5850 Canoga Ave
Ste 120
Woodland Hills, CA 91367
Phone (747) 255-4089
Organizations & group practices 6
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.
-
- Multi-Specialty Clinic/Center
- San Diego, CA
- NPI 1952394603
Physical Therapist
-
- Multi-Specialty Clinic/Center
- Escondido, CA
- NPI 1972229805
-
- Physical Therapist
- Brawley, CA
- NPI 1962458778
-
- Physical Therapist
- Temecula, CA
- NPI 1689824203
-
- Physical Therapist
- Encinitas, CA
- NPI 1588610315
-
- Physical Therapist
- Calexico, CA
- NPI 1851347686
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578355200000",
"number": "1770958621",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3760 CONVOY ST STE 101",
"city": "SAN DIEGO",
"state": "CA",
"postal_code": "921113743",
"telephone_number": "858-264-1434",
"fax_number": "858-751-0901"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "426 N IMPERIAL AVE",
"city": "EL CENTRO",
"state": "CA",
"postal_code": "922432329",
"telephone_number": "760-592-8148",
"fax_number": "760-841-5556"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERAKIS",
"first_name": "JACLYN",
"middle_name": "MICHAELA",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-03",
"last_updated": "2020-01-07",
"certification_date": "2020-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43480",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in El Centro, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.