Active NPI
Viola Perez, PT
- Physical Therapist
- Tulsa, OK
National Provider Identifier
1942313564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1279
- Practice address
- 5930 E 31St St
Suite 500
Tulsa, OK 74135-5107 - Phone
- (918) 712-7021
- Fax
- (918) 712-9326
- NPI assigned
- Aug 17, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 1279 | OK | Primary |
Addresses
Primary practice location
5930 E 31St St
Suite 500
Tulsa, OK 74135-5107
Mailing address
3054 S Madison Ave
Tulsa, OK 74114-5231
Phone (918) 712-7021
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100668060 C | Medicaid | OK | |
| 100634320 A | Medicaid | OK | |
| 100634320 B | Medicaid | OK |
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 |
|---|---|---|---|
| 1279 | OK | MD | Clinical Psychologist |
| 292710 | CA | MD | Chiropractor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312329600000",
"number": "1942313564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3054 S MADISON AVE",
"city": "TULSA",
"state": "OK",
"postal_code": "741145231",
"telephone_number": "918-712-7021",
"fax_number": "918-712-9326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5930 E 31ST ST",
"address_2": "SUITE 500",
"city": "TULSA",
"state": "OK",
"postal_code": "741355107",
"telephone_number": "918-712-7021",
"fax_number": "918-712-9326"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "VIOLA",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2011-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OK",
"license": "1279",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100668060 C",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100634320 A",
"state": "OK"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100634320 B",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.