Active NPI
Evan Tanner Perala
- Clinical Exercise Physiologist
- Phoenix, AZ
National Provider Identifier
1962319590
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Exercise Physiologist
- Practice address
- 2222 E Highland Ave Ste 222
Phoenix, AZ 85016-4876 - Phone
- (480) 847-2575
- NPI assigned
- Aug 27, 2026
- 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 |
|---|---|---|---|---|
| Clinical Exercise Physiologist | 224Y00000X | Primary |
Addresses
Primary practice location
2222 E Highland Ave Ste 222
Phoenix, AZ 85016-4876
Mailing address
12932 W Crittenden LN
Avondale, AZ 85392-6683
Phone (218) 282-6014
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1787788800000",
"number": "1962319590",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12932 W CRITTENDEN LN",
"city": "AVONDALE",
"state": "AZ",
"postal_code": "853926683",
"telephone_number": "218-282-6014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2222 E HIGHLAND AVE STE 222",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850164876",
"telephone_number": "480-847-2575"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERALA",
"first_name": "EVAN",
"middle_name": "TANNER",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2026-08-27",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Y00000X",
"taxonomy_group": "",
"desc": "Clinical Exercise Physiologist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.