Active NPI
Jacob Hugh Perry
- Physician Assistant
- Castle Rock, CO
National Provider Identifier
1922326610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2893
- Practice address
- 1001 S Perry St
Suite 101B
Castle Rock, CO 80104-2668 - Phone
- (303) 688-2228
- NPI assigned
- May 6, 2010
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2893 | CO | Primary |
Addresses
Primary practice location
1001 S Perry St
Suite 101B
Castle Rock, CO 80104-2668
Mailing address
1001 S Perry St
Suite 101B
Castle Rock, CO 80104-2668
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 |
|---|---|---|---|
| 2893 | CO | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1273104000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1286064000000",
"number": "1922326610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1001 S PERRY ST",
"address_2": "SUITE 101B",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801042668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S PERRY ST",
"address_2": "SUITE 101B",
"city": "CASTLE ROCK",
"state": "CO",
"postal_code": "801042668",
"telephone_number": "303-688-2228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JACOB",
"middle_name": "HUGH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-05-06",
"last_updated": "2010-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "2893",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Castle Rock, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.