MEDICARE: JAZMIN ANISSA PERRY PT, DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT32773	FL

General Provider Information

NPI Number	:	1013432855
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAZMIN ANISSA PERRY PT, DPT

Provider Business Mailing Address
First Line	:	4400 W SPRUCE ST APT 307
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33607-4209
Country	:	US
Telephone Number	:	614-537-7350
Fax Number	:

Provider Business Practice Location Address
First Line	:	4809 N ARMENIA AVE STE 200
Second Line	:
City	:	TAMPA
State	:	FL
Zip	:	33603-1436
Country	:	US
Telephone Number	:	813-877-1930
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/12/2017
Last Update Date	:	05/13/2025

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