Perissos Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PERISSOS THERAPY LLC

Practice address

28 E Susquehanna Ave Ste 205
Towson, MD 21286-5218

Phone

(410) 709-8437

NPI assigned

Apr 19, 2019

Organization subpart

No

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

Authorized official

Name

Elizabeth Kent

Title

Owner

Phone

(410) 709-8437

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Perissos Therapy LLC Doing business as

Locations

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

{
    "created_epoch": "1555632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560211200000",
    "number": "1952964470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "28 E SUSQUEHANNA AVE STE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865218",
            "telephone_number": "410-709-8437"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 E SUSQUEHANNA AVE STE 205",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212865218",
            "telephone_number": "410-709-8437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERISSOS THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-19",
        "last_updated": "2019-06-11",
        "status": "A",
        "authorized_official_last_name": "KENT",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-709-8437"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CAREFIRST MARYLAND",
            "identifier": "DE02",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Perissos Therapy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dashira Perez Ramirez
• Marvin Omar Perez-Vega
• Brian Perez, M.S, LAT, ATC
• Performance Complex
• Perinatal Mental Health Partners
• Alan Bruce Perkin, DDS
• Kimberly Ann Perlin, LCSWC
• Melissa Perlin, LCSW-C
• Richard Alan Perlmutter, MD
• Barbara Perry, P.T.

• Clinical Social Worker in Towson, MD
• Providers in Towson, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2019; 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.