Individual provider Active NPI

Jose Ramon Perez, PT

  • Physical Therapist
  • Atascadero, CA
National Provider Identifier
1821635319
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
297606 Issued in CA
Practice address
6907 El Camino Real Ste D
Atascadero, CA 93422-4386
Phone
(805) 466-6719
Fax
(805) 466-5286
NPI assigned
Dec 4, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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 297606 CA Primary

Addresses

Primary practice location

6907 El Camino Real Ste D
Atascadero, CA 93422-4386

Mailing address

408 Higuera St Ste 200
San Luis Obispo, CA 93401-6135
Phone (805) 788-0805

Other practice location 1

650 S Zediker Ave Bldg 2
Parlier, CA 93648-2667
Phone (559) 426-3600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304000199 CA Practitioner - Physical Therapist in Private Practice 1759718711 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6907 El Camino Real
Suite D
Atascadero, CA 93422-4386
Phone (805) 466-6719

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
297606CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Dec 15, 2023 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Current Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist CurrentSince Dec 15, 2023 Accepting new patients
Phys Med a Physical Therapy Corporation Physical Therapist CurrentSince Nov 1, 2021 Accepting new patients
San Luis Physical Therapy & Orthopedic Rehabilitation Inc Physical Therapist Past Accepting new patients

Locations

7325 El Camino Real
Atascadero, CA 93422
Phone (805) 466-6719

6907 El Camino Real
Ste D
Atascadero, CA 93422
Phone (805) 466-6719

4969 E McKinley Ave
Ste 106
Fresno, CA 93727
Phone (559) 319-1725

650 S Zediker Ave
Bldg 2
Parlier, CA 93648
Phone (559) 426-3600

533 Five Cities Dr
Ste C6
Pismo Beach, CA 93449
Phone (805) 489-7912

408 Higuera St
Ste 200
Sn Luis Obisp, CA 93401

Organizations & group practices 6

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": "1575417600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1821635319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 HIGUERA ST STE 200",
            "city": "SAN LUIS OBISPO",
            "state": "CA",
            "postal_code": "934016135",
            "telephone_number": "805-788-0805",
            "fax_number": "805-788-0845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6907 EL CAMINO REAL STE D",
            "city": "ATASCADERO",
            "state": "CA",
            "postal_code": "934224386",
            "telephone_number": "805-466-6719",
            "fax_number": "805-466-5286"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "650 S Zediker Ave Bldg 2",
            "address_purpose": "LOCATION",
            "city": "Parlier",
            "state": "CA",
            "postal_code": "936482667",
            "country_code": "US",
            "telephone_number": "559-426-3600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "JOSE",
        "middle_name": "RAMON",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-12-04",
        "last_updated": "2023-11-29",
        "certification_date": "2023-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "297606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atascadero, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2023; 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.