ILENIA PEREZ (NPI# 1376799676) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1376799676 |
| Entity Type | Individual |
| Full Name | ILENIA PEREZ |
| Credential | P.T. |
| Practice Address |
1630 E Herndon Ave Fresno CA 93720-3391 |
| Mailing Address |
8302 Espresso Dr Ste 100 Bakersfield CA 93312-5688 |
| Practice Telephone | 5592565200 |
| Practice Fax Number | 5592565376 |
| Mailing Telephone | 6613771700 |
| Mailing Fax Number | 6616169199 |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2019-05-14 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | PT34619 | CA | Allopathic & Osteopathic Physicians |
| Y | 225100000X | Physical Therapist | PT34619 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
PT34619 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | LICENSE NUMBER | PT34619 | 01 |
| Street Address |
1630 E HERNDON AVE |
| City | FRESNO |
| State | CA |
| Zip Code | 93720-3391 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403442 | Jerome R Dunklin | Orthopaedic Surgery | 1630 E Herndon Ave, Fresno, CA 93720-3305 | 2005-11-03 |
| 1932754488 | Alyssa Matoba | Physical Therapy Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2019-08-01 |
| 1518477348 | David A Kunz | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-10-06 |
| 1437699873 | Jennifer R Steger | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-03-05 |
| 1952841983 | Jennifer Maynez | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2017-02-23 |
| 1083062475 | Beau Kalmes | Family Medicine | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-05-26 |
| 1477907699 | Shari Matsuura | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-14 |
| 1134583578 | Sierra Pacific Orthopaedic Center | Physical Therapist | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2016-04-12 |
| 1679954747 | Samantha Payseno | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2015-06-15 |
| 1053714089 | Jennifer Ann Brough Wilson | Physician Assistant | 1630 E Herndon Ave, Fresno, CA 93720-3391 | 2014-10-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366061129 | Ariel Lok Yen Leung | Student in an Organized Health Care Education/Training Program | 1313 East Herndon Ave, St 105, Fresno, CA 93720 | 2020-04-13 |
| 1457992513 | Brittany Nichole Willis | Audiologist | 1351 E Spruce Ave Ste 130, Fresno, CA 93720 | 2019-09-30 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1457909152 | Lillian M Augilera | Technician | 8419 N Dearing Ave, Fresno, CA 93720 | 2019-08-27 |
| 1215581764 | Sterling Hospitalist Medical Group, Inc. | Clinic/Center | 1191 E. Herndon Avenue Suite 103, Fresno, CA 93720 | 2019-08-01 |
| 1376006429 | Nancy Minh Thao Dang | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2019-04-06 |
| 1366904716 | Shankar Nair | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105., Fresno, CA 93720 | 2019-04-04 |
| 1861979544 | Powell Pediatric Dentistry Chestnut Partnership | Dentist | 7005 N. Chestnut Ave Ste 101, Fresno, CA 93720 | 2018-07-25 |
| 1669967311 | Sierra Pacific Orthopaedic Center Medical Group Inc | Specialist | 1270 E. Spruce, Fresno, CA 93720 | 2018-06-26 |
| 1689168700 | Vinita Vishnoi | Student in an Organized Health Care Education/Training Program | 1313 E. Herndon Ave, St 105, Fresno, CA 93720 | 2018-06-21 |
| Find all providers in zip 93720 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326653569 | Mark Prado | Physical Therapist | 7265 N 1st St Ste 104, Fresno, CA 93720-2956 | 2020-09-14 |
| 1962025288 | Lecare | Physical Therapist | 6206 E Sussex Way, Fresno, CA 93727-7944 | 2020-05-20 |
| 1104445485 | Luthar Ian Ursaiz Nermal | Physical Therapist | 255 W Fallbrook Ave, Fresno, CA 93711-6151 | 2020-04-16 |
| 1174161079 | Adeel Haider Rizvi | Physical Therapist | 7178 N Jackson Ave Apt 115, Fresno, CA 93720-2736 | 2019-12-11 |
| 1013567668 | Taylor Courteney Cox | Physical Therapist | 7080 N. Maple Ave #101, Fresno, CA 93720 | 2019-09-16 |
| 1174179543 | Melanie Mah | Physical Therapist | 1360 E Spruce Ave Ste 103, Fresno, CA 93720-3378 | 2019-08-12 |
| 1659839157 | Allison Reynolds | Physical Therapist | 7080 N Maple Ave Ste 101, Fresno, CA 93720-8003 | 2019-03-04 |
| 1881150514 | Michael Eckert | Physical Therapist | 7275 N. First St., Suite 106, Fresno, CA 93720-2977 | 2019-02-19 |
| 1699289017 | Joseph Fonseca | Physical Therapist | 692 E Sample Ave, Fresno, CA 93710-5429 | 2017-11-21 |
| 1598277089 | Carolyn Bentley | Physical Therapist | 3462 E Huntington Blvd, Fresno, CA 93702-3222 | 2017-10-25 |
| Find all providers in FRESNO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.