Individual provider Active NPI

Anne Jilian Tiangco Perez, PT, DPT

  • Physical Therapist
  • Irvine, CA
National Provider Identifier
1902363625
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT295714 Issued in CA
Practice address
556 Saint Vincent
Irvine, CA 92618-3933
Phone
(949) 212-7741
NPI assigned
Feb 28, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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 PT295714 CA Primary

Addresses

Primary practice location

556 Saint Vincent
Irvine, CA 92618-3933

Mailing address

556 Saint Vincent
Irvine, CA 92618-3933
Phone (949) 212-7741

Other practice location 1

29220 Paseo Carmona
San Juan Capistrano, CA 92675-3654
Phone (949) 212-7741

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191001003464 CA Practitioner - Physical Therapist in Private Practice 6305176587 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Stabilize Physical Therapy IncGroup PAC ID 6608016183, 2 clinicians

Practice addresses (Care Compare)

881 Dover Dr
Suite 285
Newport Beach, CA 92663-6901
Phone (949) 631-3321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT295714CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Stabilize Physical Therapy, Inc. CurrentSince Aug 5, 2025 Accepting new patients

Locations

881 Dover Dr
Ste 285
Newport Beach, CA 92663
Phone (949) 631-3321

Organizations & group practices 2

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": "1551312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1902363625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "556 SAINT VINCENT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183933",
            "telephone_number": "949-212-7741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "556 SAINT VINCENT",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926183933",
            "telephone_number": "949-212-7741"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "29220 Paseo Carmona",
            "address_purpose": "LOCATION",
            "city": "San Juan Capistrano",
            "state": "CA",
            "postal_code": "926753654",
            "country_code": "US",
            "telephone_number": "949-212-7741",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ANNE JILIAN",
        "middle_name": "TIANGCO",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-28",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT295714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Irvine, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2022; 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.