Jenna Lynn Perea, PT

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

48172 Issued in CA

Practice address

11225 Tampa Ave
Northridge, CA 91326-1610

Phone

(818) 363-9970

Fax

(818) 363-9980

NPI assigned

Feb 15, 2017

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

State licenses

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.

• Vargo Physical Therapy, Inc.

  • Physical Therapist
  • Northridge, CA
  • NPI 1386768539
  NPD (past)

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

{
    "created_epoch": "1487116800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490227200000",
    "number": "1891234415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27125 SIERRA HWY",
            "address_2": "SUITE 203",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913515428",
            "telephone_number": "661-250-9940",
            "fax_number": "661-250-9959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11225 TAMPA AVE",
            "city": "NORTHRIDGE",
            "state": "CA",
            "postal_code": "913261610",
            "telephone_number": "818-363-9970",
            "fax_number": "818-363-9980"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREA",
        "first_name": "JENNA",
        "middle_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-15",
        "last_updated": "2017-03-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CA",
            "license": "48172",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Sue Penrod
• Penuel Access Care LLC
• Grace Peprah, LMFT
• Jessica A Peralta
• Reyna Peralta, BA
• Ronald B Perelman, M.D.
• Elise S Perer, MD
• Araceli Perez
• Arely Perez
• Austin Perez

• Physical Therapy Assistant in Northridge, CA
• Providers in Northridge, CA by specialty
• Physical Therapy Assistant in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2017; 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.