Individual provider Active NPI

Aundrea Carmen Judith Perez, DPT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1912513292
Registry record updated Sep 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4399 Issued in NV
Practice address
2800 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3632
Phone
(702) 294-7499
Fax
(702) 735-0097
NPI assigned
Sep 22, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2020

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 4399 NV Primary

Addresses

Primary practice location

2800 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3632

Mailing address

2800 E Desert Inn Rd Ste 200
Las Vegas, NV 89121-3632
Phone (702) 294-7499

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
4399NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Therapy Partners Physical Therapist CurrentSince Jun 28, 2022 Accepting new patients
Desert Orthopaedic Center, LTD. CurrentSince Sep 21, 2020 Accepting new patients

Locations

7121 W Craig Rd
Ste 110
Las Vegas, NV 89129

727 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 459-4900

2800 E Desert Inn Rd
Ste 100
Las Vegas, NV 89121
Phone (702) 294-7499

10040 Alta Dr
Ste 230
Las Vegas, NV 89145
Phone (725) 726-7947

955 W Craig Rd
Ste 103
North Las Vegas, NV 89032

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": "1600732800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600732800000",
    "number": "1912513292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213632",
            "telephone_number": "702-294-7499",
            "fax_number": "702-735-0097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 E DESERT INN RD STE 200",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213632",
            "telephone_number": "702-294-7499",
            "fax_number": "702-735-0097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "AUNDREA",
        "middle_name": "CARMEN JUDITH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-22",
        "last_updated": "2020-09-22",
        "certification_date": "2020-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2020; 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.