Individual provider Active NPI

Heather Perry, PTA

  • Physical Therapy Assistant
  • Dayton, OH
National Provider Identifier
1780140178
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA008641 Issued in OH
Practice address
1050 Forrer Blvd
Dayton, OH 45420-1472
Phone
(937) 298-1111
NPI assigned
Feb 11, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA008641 OH Primary

Addresses

Primary practice location

1050 Forrer Blvd
Dayton, OH 45420-1472

Mailing address

1050 Forrer Blvd
Dayton, OH 45420-1472
Phone (937) 298-1111

Other practice location 1

300 Astoria Rd
Germantown, OH 45327-1712
Phone (937) 855-2363

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

LicenseStateTypeSpecialty
PTA008641OHMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574380800000",
    "number": "1780140178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1050 FORRER BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201472",
            "telephone_number": "937-298-1111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 FORRER BLVD",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454201472",
            "telephone_number": "937-298-1111"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Astoria Rd",
            "address_purpose": "LOCATION",
            "city": "Germantown",
            "state": "OH",
            "postal_code": "453271712",
            "country_code": "US",
            "telephone_number": "937-855-2363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PERRY",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-11",
        "last_updated": "2019-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OH",
            "license": "PTA008641",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.