Individual provider Active NPI

Jennifer Perez, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1801389077
Registry record updated Jun 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9134 Issued in SC
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

Updated by the provider on Jun 12, 2018

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 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 Former name

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
9134SCMDGeneral 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.

Verify at the official NPI Registry.