Makenzie Perales, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1314517 Issued in TX

Practice address

2813 W Southlake Blvd Ste 110
Southlake, TX 76092-6832

Phone

(817) 310-8780

Fax

(817) 310-8781

NPI assigned

Feb 18, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Decatur Hospital Authority

  dba Decatur Medical Lodge

  • Skilled Nursing Facility
  • Decatur, TX
  • NPI 1649722943
  NPD (past)
• Nto Physician Partners, PLLC

  • Orthopaedic Surgery Physician
  • Grapevine, TX
  • NPI 1114443181
  NPD (past)

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

{
    "created_epoch": "1550448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658707200000",
    "number": "1811453665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "651 S MAIN ST STE 100",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762487037",
            "telephone_number": "817-898-7090",
            "fax_number": "817-562-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2813 W SOUTHLAKE BLVD STE 110",
            "city": "SOUTHLAKE",
            "state": "TX",
            "postal_code": "760926832",
            "telephone_number": "817-310-8780",
            "fax_number": "817-310-8781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALES",
        "first_name": "MAKENZIE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-02-18",
        "last_updated": "2022-07-25",
        "certification_date": "2022-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1314517",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Caitlin Elizabeth Pedigo, RNFA
• William Robert Peeler
• Shahab Sean Peikari, BCBA
• Pelvic Lab
• Elaine Louise Penn
• Daniel J. Perkins, DC
• Perla Dental of Desoto
• Emily Ann Perry, MSN, APRN, AGNP-C
• Michelle Lynay Perry, O.D.
• J. Lee Pettigrew, D.D.S.

• Physical Therapist in Southlake, TX
• Providers in Southlake, TX by specialty
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2022; 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.