DR. ANNALISE PEREZ (PT, DPT, NCS) – Neurology Physical Therapist, NPI 1083459606

DR. ANNALISE PEREZ (PT, DPT, NCS) is a healthcare provider. based in Maitland, Florida. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT, DPT, NCS. They hold a License No. PT30616 (FL). The NPI Number for DR. ANNALISE PEREZ (PT, DPT, NCS) is 1083459606

Main info

Female
Sole Proprietor
11 Years Of Experience
Accepts Medicare Assignment
Name
DR. ANNALISE PEREZ (PT, DPT, NCS)
NPI
1083459606
Phone
(786) 546-3609
Address
2220 DERBYSHIRE RD
Enumeration Date
26 June 2024
Last Update Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
4078820468
Graduation Year
2015 (11 years ago)
PAC ID
2466993712
Group Practice PAC ID
9739181470
Professional Enrollment ID
I20241125001197
Address ID
FL328262903OR3280XDRXX301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

4,636 PHYSICAL THERAPIST IN PRIVATE PRACTICE in FL

Provider Addresses for DR. ANNALISE PEREZ (PT, DPT, NCS)

  • 2220 DERBYSHIRE RD

    MAITLAND, FL 327513602

    Phone: (786) 546-3609

    Type: Mailing

  • 1300 HEMPEL AVE

    OCOEE, FL 347614668

    Phone: (407) 407-0500

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241125001197IPhysical Therapist In Private PracticeFLTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 32751)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9739181470View full group profile
NameSpecialtyState
Internal Medicine, Cardiovascular Disease (Cardiology)NY
Endocrinology, Internal MedicineFL
Family PracticeFL
-FL
-FL
Nurse PractitionerFL
Qualified Speech Language PathologistFL
Cardiovascular Disease (Cardiology), Internal MedicineFL
-FL
Qualified Speech Language PathologistFL

Reviews

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Frequently asked questions

How do payers reference DR. ANNALISE PEREZ (PT, DPT, NCS)?
For DR. ANNALISE PEREZ (PT, DPT, NCS), use NPI 1083459606 as the unique 10-digit identifier.
Is DR. ANNALISE PEREZ (PT, DPT, NCS) still an active registrant?
DR. ANNALISE PEREZ (PT, DPT, NCS) carries an active NPI according to the public dataset.
What area of care is associated with DR. ANNALISE PEREZ (PT, DPT, NCS)?
DR. ANNALISE PEREZ (PT, DPT, NCS)'s record emphasizes Neurology Physical Therapist. Clinical services aligned with this taxonomy classification.
Is DR. ANNALISE PEREZ (PT, DPT, NCS) located near Maitland?
DR. ANNALISE PEREZ (PT, DPT, NCS) currently maps to Maitland, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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