Individual provider Active NPI

Patricia Imitola- Perez, SLP

  • Speech-Language Pathologist
  • Kansas City, MO
National Provider Identifier
1962519470
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2006015398 Issued in MO
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

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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 Other name

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

LicenseStateTypeSpecialty
T-SLP: 2421KSMDSpeech-Language Pathologist
2006015398MOMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew 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.

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.

Verify at the official NPI Registry.