Permar Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8201 Issued in AZ

Legal business name

PERMAR PHYSICAL THERAPY

Practice address

143 N McCormick St Ste 102
Prescott, AZ 86301-2725

Phone

(928) 589-1172

Fax

(928) 441-2622

NPI assigned

Mar 7, 2016

Organization subpart

No

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

Authorized official

Name

Gage PermarNPI 1538317342

Title

Sole Member

Phone

(928) 589-1172

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gage Permar, DPT

  • Physical Therapist
  • Prescott, AZ
  • NPI 1538317342
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1457308800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1665014400000",
    "number": "1932569746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19 EASTFIELD LN",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863055272",
            "telephone_number": "928-589-1172",
            "fax_number": "928-441-2622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 N MCCORMICK ST STE 102",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "863012725",
            "telephone_number": "928-589-1172",
            "fax_number": "928-441-2622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERMAR PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-07",
        "last_updated": "2022-10-06",
        "certification_date": "2022-10-06",
        "status": "A",
        "authorized_official_last_name": "PERMAR",
        "authorized_official_first_name": "GAGE",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "928-589-1172"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8201",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Asya Ruth Perkins, M.A., LPC-16532
• Jaron Beau Perkins, D.M.D.
• Marla Beth Perkins, SLP
• Lynn P Perlenfein, PA-C
• Katelynn Perlman, LPC
• Gage Permar, DPT
• Trale Barry Permar, M.D.
• Denise Perry
• William E Perry, M.D.
• Jeffrey C. Peters, PHARMAIST

• Physical Therapist in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.