Active NPI
Anthony Patrick Perales, PT, DPT
- Orthopedic Physical Therapist
- Fort Bliss, TX
National Provider Identifier
1922562073
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 1240177
- Practice address
- 11133 SSG Sims St
Fort Bliss, TX 79906 - Phone
- (915) 920-6133
- NPI assigned
- Jan 23, 2019
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Sports Physical Therapist | 2251S0007X | 12040177 | TX | |
| Orthopedic Physical Therapist | 2251X0800X | 1240177 | TX | Primary |
Addresses
Primary practice location
11133 SSG Sims St
Fort Bliss, TX 79906
Mailing address
6012 Vicente Gomez
El Paso, TX 79932-2912
Phone (915) 920-6133
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 |
|---|---|---|---|
| 12040177 | TX | MD | Sports Physical Therapist |
| 1240177 | TX | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548201600000",
"number": "1922562073",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6012 VICENTE GOMEZ",
"city": "EL PASO",
"state": "TX",
"postal_code": "799322912",
"telephone_number": "915-920-6133"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11133 SSG SIMS ST",
"city": "FORT BLISS",
"state": "TX",
"postal_code": "79906",
"telephone_number": "915-920-6133"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALES",
"first_name": "ANTHONY",
"middle_name": "PATRICK",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-23",
"last_updated": "2019-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "TX",
"license": "12040177",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "TX",
"license": "1240177",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Bliss, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.