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MICHAEL PEREZ CP
NPI 1669904595
Prosthetic/Orthotic Supplier in Fort Wayne, IN

Active since March 30, 2017
4109 W JEFFERSON BLVD, FORT WAYNE, IN 46804(260) 432-8886(260) 432-1137 Get Directions Write a Review

NPPES record last updated: March 30, 2017. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Michael Perez Cp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL PEREZ CP (NPI 1669904595) is an individual prosthetic/orthotic supplier provider in Fort Wayne, Indiana and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1669904595
Entity TypeIndividualMale
Primary Taxonomy335E00000X
Provider Legal NameMICHAEL PEREZCredential: CP
Location Address4109 W JEFFERSON BLVDFort Wayne, IN 46804-6894
Mailing Address408 E Washington StButler, IN 46721-1179
Phone(260) 432-8886
Fax(260) 432-1137
Sole ProprietorYes
Enumeration DateMarch 30, 2017
✔ NPI 1669904595 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyProsthetic/Orthotic SupplierSuppliers
Taxonomy Code335E00000X
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
4109 W JEFFERSON BLVD, Fort Wayne, IN 46804
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Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. TAMARIN L ANGLIN LSCSW, ACSW
Social Worker (Clinical)
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251
MS. ANGELA WALKER LSCW, LCAC
Social Worker (Clinical)
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251
ADAM ROTH CO
Prosthetic/Orthotic Supplier
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8886
JASON TIMMER CPO
Prosthetic/Orthotic Supplier
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (260) 432-8886
MS. ELIZABETH PORTER LCSW
Social Worker (Clinical)
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251
JEFF WELLS CPO
Prosthetic/Orthotic Supplier
4109 W JEFFERSON BLVD
FORT WAYNE, IN 46804
Allen County (866) 633-3961
MS. ALYSSA HAMILTON LSW, LCAC-A
Social Worker
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251
MS. JEANNE HARBER PORTER LCSW, ACSW
Social Worker (Clinical)
4109 W JEFFERSON BLVD, STE A
FORT WAYNE, IN 46804
Allen County (260) 486-5251

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Michael Perez's NPI number?

The NPI number for Michael Perez is 1669904595. It was assigned to this individual provider in the NPPES registry on March 30, 2017.

Where is Michael Perez located?

Michael Perez practices at 4109 W Jefferson Blvd, Fort Wayne, IN 46804. The listed phone number is (260) 432-8886.

What is Michael Perez's specialty?

The primary specialty registered for this NPI is Prosthetic/Orthotic Supplier with taxonomy code 335E00000X.

When was this NPI record last updated?

The NPPES record for Michael Perez was last updated on March 30, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.