Healthcare Provider Details

I. General information

NPI: 1548142680
Provider Name (Legal Business Name): EMRIE MARIE PEREZ-FERNANDEZ DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6101 WINDHAVEN PKWY STE 145
PLANO TX
75093-8198
US

IV. Provider business mailing address

480 WILLOWLAKE DR
LITTLE ELM TX
75068-5092
US

V. Phone/Fax

Practice location:
  • Phone: 972-473-8980
  • Fax:
Mailing address:
  • Phone: 214-499-4445
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number1406944
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number1406944
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: