Albert Wilhelm Perez, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA22571 Issued in NY

Practice address

3550 Mohegan Lake
Mohegan Lake, NY 10547

Phone

(914) 623-2934

NPI assigned

Apr 29, 2011

Sex

Male

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1304035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1304035200000",
    "number": "1821389487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WASHINGTON ST",
            "city": "PEEKSKILL",
            "state": "NY",
            "postal_code": "105664530",
            "telephone_number": "914-623-2934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3550 MOHEGAN LAKE",
            "city": "MOHEGAN LAKE",
            "state": "NY",
            "postal_code": "10547",
            "telephone_number": "914-623-2934"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ALBERT",
        "middle_name": "WILHELM",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-29",
        "last_updated": "2011-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "PTA22571",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberly Tracey Niese, SPECIAL EDUCATION
• Jaclyn Marie Dolan Nieves, LMHC, CASAC
• Andrew Ocasio, MS,SLP
• Robert Ornstein, MSW
• Danielle Pietra Paglia, M.S., CCC-SLP/TSHH
• Christine Teresa Perricelli, MS, CCC-SLP
• Mario T Picarello, RPH
• Sylvia Pinet
• Christine Ragolia
• Denise Rahe, LPN

• Physical Therapy Assistant in Mohegan Lake, NY
• Providers in Mohegan Lake, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2011; 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.