Elizabeth A Perry, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 22714 Issued in CA

Practice address

44025 Jefferson St
Ste 104
La Quinta, CA 92253-4874

Phone

(760) 345-5453

Fax

(760) 345-7063

NPI assigned

Dec 13, 2005

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Elizabeth A Bishop Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480636800000",
    "number": "1932184819",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5717",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922485717",
            "telephone_number": "760-343-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44025 JEFFERSON ST",
            "address_2": "STE 104",
            "city": "LA QUINTA",
            "state": "CA",
            "postal_code": "922534874",
            "telephone_number": "760-345-5453",
            "fax_number": "760-345-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-12-13",
        "last_updated": "2016-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT 22714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "BISHOP",
            "middle_name": "A",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Pediatric Physicians Group Inc
• Pediatric Physicians Group, Inc.
• Jeanne M Perafan, NP
• Isabel Peralta
• Perry Physical Therapy, Inc.
• J. Chris Peters, D.C.
• Renee Petersen
• Sarah J Peterson
• Robert D Petrie, MD
• Dennis H Pham, DDS

• Physical Therapist in La Quinta, CA
• Providers in La Quinta, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2016; 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.