Individual provider Active NPI

Rosa G Perez, MT

  • Massage Therapist
  • Avondale, AZ
National Provider Identifier
1952077844
Registry record updated Aug 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Massage TherapistTaxonomy code 225700000X
License
MT-24083 Issued in AZ
Practice address
11 W Van Buren St Ste 28
Avondale, AZ 85323-1313
Phone
(623) 217-2924
Fax
(623) 889-9757
NPI assigned
Aug 19, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Massage Therapist 225700000X MT-24083 AZ Primary

Addresses

Primary practice location

11 W Van Buren St Ste 28
Avondale, AZ 85323-1313

Mailing address

11 W Van Buren St Ste 28
Avondale, AZ 85323-1313
Phone (623) 217-2924

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
Credentials
Medical Technician

State licenses

LicenseStateTypeSpecialty
MT-24083AZMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Jeffrey a. Trinka, P.C. CurrentSince Aug 28, 2021 Accepting new patients

Locations

11 W Van Buren St
Ste 28
Avondale, AZ 85323
Phone (623) 932-4060

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.

NPI Registry JSON

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1952077844",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 W VAN BUREN ST STE 28",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231313",
            "telephone_number": "623-217-2924",
            "fax_number": "623-889-9757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 W VAN BUREN ST STE 28",
            "city": "AVONDALE",
            "state": "AZ",
            "postal_code": "853231313",
            "telephone_number": "623-217-2924",
            "fax_number": "623-889-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEREZ",
        "first_name": "ROSA",
        "middle_name": "G",
        "credential": "MT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "AZ",
            "license": "MT-24083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avondale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.