Individual provider Active NPI

Courtney Lee Perkins, PT, DPT

  • Physical Therapist
  • Roanoke, VA
National Provider Identifier
1902674203
Registry record updated Dec 15, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2305213557 Issued in VA
Practice address
649 Elm Ave SW Apt B
Roanoke, VA 24016-3821
Phone
(440) 787-5992
NPI assigned
Dec 15, 2023
Last updated
Dec 15, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 15, 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 2305213557 VA Primary

Addresses

Primary practice location

649 Elm Ave SW Apt B
Roanoke, VA 24016-3821

Mailing address

649 Elm Ave SW Apt B
Roanoke, VA 24016-3821
Phone (440) 787-5992

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240221001879 VA Practitioner - Physical Therapist in Private Practice 9739523499 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neuro Outlook LLCGroup PAC ID 8820432586, 4 clinicians

Practice addresses (Care Compare)

649 Elm Ave SW
Apt B
Roanoke, VA 24016-3821
Phone (440) 787-5992

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2305213557VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Neuro Outlook, LLC Physical Therapist CurrentSince Jan 4, 2024 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1702598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702598400000",
    "number": "1902674203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 ELM AVE SW APT B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163821",
            "telephone_number": "440-787-5992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 ELM AVE SW APT B",
            "city": "ROANOKE",
            "state": "VA",
            "postal_code": "240163821",
            "telephone_number": "440-787-5992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERKINS",
        "first_name": "COURTNEY",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-12-15",
        "last_updated": "2023-12-15",
        "certification_date": "2023-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roanoke, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 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.