Active NPI
Jorge Leonardo Perez
- Speech-Language Assistant
- Phoenix, AZ
National Provider Identifier
1902190705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Assistant
- License
- SLPA7245
- Practice address
- 352 E Camelback Rd
Suite 102
Phoenix, AZ 85012-1646 - Phone
- (602) 277-5006
- Fax
- (602) 277-5042
- NPI assigned
- Jun 9, 2011
- 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 |
|---|---|---|---|---|
| Speech-Language Assistant | 2355S0801X | SLPA7245 | AZ | Primary |
Addresses
Primary practice location
352 E Camelback Rd
Suite 102
Phoenix, AZ 85012-1646
Mailing address
352 E Camelback Rd
Suite 102
Phoenix, AZ 85012-1646
Phone (602) 277-5006
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SLPA7245 | AZ | MD | Speech-Language Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Head to Toe Therapy Inc | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Children's Hospital
- Scottsdale, AZ
- NPI 1497959670
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307577600000",
"number": "1902190705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "352 E CAMELBACK RD",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121646",
"telephone_number": "602-277-5006",
"fax_number": "602-277-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "352 E CAMELBACK RD",
"address_2": "SUITE 102",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850121646",
"telephone_number": "602-277-5006",
"fax_number": "602-277-5042"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "JORGE",
"middle_name": "LEONARDO",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-09",
"last_updated": "2011-06-09",
"status": "A"
},
"taxonomies": [
{
"code": "2355S0801X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Speech-Language Assistant",
"state": "AZ",
"license": "SLPA7245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.