Active NPI
Jennifer Perez, DPT
- Physical Therapist
- Columbia, SC
National Provider Identifier
1801389077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9134
- Practice address
- 2113 Adams GRV
Columbia, SC 29203-6951 - Phone
- (803) 767-4832
- NPI assigned
- Jun 12, 2018
- 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 | 9134 | SC | Primary |
Addresses
Primary practice location
2113 Adams GRV
Columbia, SC 29203-6951
Mailing address
10120 Two Notch Rd Ste 2
PMB 223
Columbia, SC 29223-4385
Other practice location 1
10120 Two Notch Rd Ste 2
PMB 223
Columbia, SC 29223-4385
Phone (803) 849-2225
Other names 1
- Jennifer Butler
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 |
|---|---|---|---|
| 9134 | SC | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1528761600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1528761600000",
"number": "1801389077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10120 TWO NOTCH RD STE 2",
"address_2": "PMB 223",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292234385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2113 ADAMS GRV",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036951",
"telephone_number": "803-767-4832"
}
],
"practiceLocations": [
{
"address_1": "10120 Two Notch Rd Ste 2",
"address_2": "PMB 223",
"address_purpose": "LOCATION",
"city": "Columbia",
"state": "SC",
"postal_code": "292234385",
"country_code": "US",
"telephone_number": "803-849-2225",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "PEREZ",
"first_name": "JENNIFER",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-06-12",
"last_updated": "2018-06-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "9134",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JENNIFER",
"last_name": "BUTLER",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Columbia, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.