Active NPI
Isai Perez
- Physical Therapist
- Lakeway, TX
National Provider Identifier
1962233577
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1397643
- Practice address
- 100 Medical Pkwy
Lakeway, TX 78738-5621 - Phone
- (512) 654-5000
- NPI assigned
- Aug 13, 2024
- Sex
- Male
- 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 | 1397643 | TX | Primary |
Addresses
Primary practice location
100 Medical Pkwy
Lakeway, TX 78738-5621
Mailing address
415 Oakridge Pass
Cedar Park, TX 78613-3413
Phone (956) 500-7570
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1397643 | TX | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1723507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723593600000",
"number": "1962233577",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "415 OAKRIDGE PASS",
"city": "CEDAR PARK",
"state": "TX",
"postal_code": "786133413",
"telephone_number": "956-500-7570"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 MEDICAL PKWY",
"city": "LAKEWAY",
"state": "TX",
"postal_code": "787385621",
"telephone_number": "512-654-5000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PEREZ",
"first_name": "ISAI",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-08-13",
"last_updated": "2024-08-14",
"certification_date": "2024-08-14",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TX",
"license": "1397643",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lakeway, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.