Maurice Perry Jr.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Practice address

3425 McLean St
Fort Worth, TX 76103-2507

Phone

(469) 365-9777

NPI assigned

Nov 19, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1574121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1574121600000",
    "number": "1962048470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8131 COLWICK LN",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760024238",
            "telephone_number": "469-365-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 MCLEAN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761032507",
            "telephone_number": "469-365-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERRY",
        "first_name": "MAURICE",
        "name_suffix": "Jr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-11-19",
        "last_updated": "2019-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Perronerx LLC
• Kristyn Perrotte, PTA
• Cody J Perry, MD
• Jacquelyn Perry, D.P.M.
• Lynda Michelle Perry, ABOC
• Michael S Perry, MD
• Nona Perry, LCSW
• Stephen Perry, RN
• Caitlin Perryman
• Kashiris Walton Perryman, FNP-BC

• Physical Therapy Clinic/Center in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Physical Therapy Clinic/Center in Texas

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