Active NPI
Mario E Perez, OTR
- Occupational Therapist
- Kissimmee, FL
National Provider Identifier
1912264805
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2517 Hikers CT
Kissimmee, FL 34743 - Phone
- (407) 399-2940
- NPI assigned
- Apr 16, 2012
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | FL | Primary |
Addresses
Primary practice location
2517 Hikers CT
Kissimmee, FL 34743
Mailing address
2517 Hikers CT
Kissimmee, FL 34743-3601
Phone (407) 399-2940
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1334534400000",
"number": "1912264805",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2517 HIKERS CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "347433601",
"telephone_number": "407-399-2940"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2517 HIKERS CT",
"city": "KISSIMMEE",
"state": "FL",
"postal_code": "34743",
"telephone_number": "407-399-2940"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "MARIO",
"middle_name": "E",
"name_prefix": "Mr.",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2012-04-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kissimmee, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.