Active NPI
Gregory Nicholas Perry, PT, DPT, LAT
- Physical Therapist
- College Station, TX
National Provider Identifier
1871095745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1301656
- Practice address
- 4091 SH 6 South
Suite B
College Station, TX 77845 - Phone
- (979) 690-2478
- NPI assigned
- Mar 6, 2018
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1301656 | TX | Primary |
Addresses
Primary practice location
4091 SH 6 South
Suite B
College Station, TX 77845
Mailing address
4091 SH 6 South
Suite B
College Station, TX 77845
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1301656 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1520294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520294400000",
"number": "1871095745",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4091 SH 6 SOUTH",
"address_2": "SUITE B",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "77845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4091 SH 6 SOUTH",
"address_2": "SUITE B",
"city": "COLLEGE STATION",
"state": "TX",
"postal_code": "77845",
"telephone_number": "979-690-2478"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "GREGORY",
"middle_name": "NICHOLAS",
"credential": "PT, DPT, LAT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-06",
"last_updated": "2018-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1301656",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in College Station, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.