Active NPI
Patricia Imitola- Perez, SLP
- Speech-Language Pathologist
- Kansas City, MO
National Provider Identifier
1962519470
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 2006015398
- Practice address
- 3101 Main St
Kansas City, MO 64111-1921 - Phone
- (816) 756-0780
- NPI assigned
- Aug 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 2006015398 | MO | Primary |
| Speech-Language Pathologist | 235Z00000X | T-SLP: 2421 | KS |
Addresses
Primary practice location
3101 Main St
Kansas City, MO 64111-1921
Mailing address
1404 NE Parvin Rd
Apt. # 208
Kansas City, MO 64116-5010
Phone (816) 756-0780
Other names 1
- Paty Perez
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 |
|---|---|---|---|
| T-SLP: 2421 | KS | MD | Speech-Language Pathologist |
| 2006015398 | MO | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Perez Bellew Speech Pathology Services LLC | Speech-Language Pathologist | Current | Accepting new patients |
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.
-
- Speech-Language Pathologist
- Kansas City, MO
- NPI 1952264129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156291200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1962519470",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1404 NE PARVIN RD",
"address_2": "APT. # 208",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641165010",
"telephone_number": "816-756-0780"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3101 MAIN ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641111921",
"telephone_number": "816-756-0780"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IMITOLA- PEREZ",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "SLP",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "MO",
"license": "2006015398",
"primary": true
},
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "KS",
"license": "T-SLP: 2421",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "PATY",
"last_name": "PEREZ",
"credential": "SLP",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.