Individual provider Active NPI

Wendy Perrini, MS, OTR/L,CHT

  • Occupational Therapist
  • Greenville, NC
National Provider Identifier
1811356850
Registry record updated Feb 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1134 Issued in NC
Practice address
1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone
(252) 364-2806
Fax
(252) 364-2863
NPI assigned
Feb 18, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1134 NC Primary

Addresses

Primary practice location

1540 E Arlington Blvd
Greenville, NC 27858-5870

Mailing address

1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone (252) 364-2806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181218000524 NC Practitioner - Occupational Therapist in Private Practice 6305181462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Brody School of Medicine at East Carolina University, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinetic Phys Therapy and Wellness IncGroup PAC ID 5496879256, 23 clinicians

Practice addresses (Care Compare)

1540 E Arlington Blvd
Greenville, NC 27858-5870
Phone (252) 364-2806

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
1134NCMDBehavioral Analyst

Practice roles

OrganizationSpecialtyStatusNew patients
Kinetic Phys Therapy and Wellness Inc CurrentSince Nov 12, 2018 Accepting new patients

Locations

1540 E Arlington Blvd
Greenville, NC 27858
Phone (252) 364-2806

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": "1455753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455753600000",
    "number": "1811356850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1540 E ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585870",
            "telephone_number": "252-364-2806",
            "fax_number": "252-364-2863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1540 E ARLINGTON BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585870",
            "telephone_number": "252-364-2806",
            "fax_number": "252-364-2863"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRINI",
        "first_name": "WENDY",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L,CHT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-02-18",
        "last_updated": "2016-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "1134",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2016; 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.

Verify at the official NPI Registry.