Active NPI
Edwin Rufino Perry, MSPT
- Physical Therapist
- Waterford, CT
National Provider Identifier
1932318862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007520
- Practice address
- 171 Rope Ferry Rd
Waterford, CT 06385-2600 - Phone
- (860) 443-8357
- NPI assigned
- May 21, 2007
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007520 | CT | Primary |
Addresses
Primary practice location
171 Rope Ferry Rd
Waterford, CT 06385-2600
Mailing address
569 New London Tpke
Norwich, CT 06360-6513
Phone (860) 961-4419
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
| License | State | Type | Specialty |
|---|---|---|---|
| 007520 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ryders Rehabilitation, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Rehabilitation Clinic/Center
- Stratford, CT
- NPI 1639502321
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1932318862",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "569 NEW LONDON TPKE",
"city": "NORWICH",
"state": "CT",
"postal_code": "063606513",
"telephone_number": "860-961-4419"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "171 ROPE FERRY RD",
"city": "WATERFORD",
"state": "CT",
"postal_code": "063852600",
"telephone_number": "860-443-8357"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "EDWIN",
"middle_name": "RUFINO",
"name_prefix": "Mr.",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-05-21",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007520",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.