Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

MS. Jerusha Peram, PT

Individual provider Physical Therapist · NPI 1720861966

MS. Jerusha Peram, PT is a Physical Therapist in Private Practice in Kennebunk, Maine. Qualified in 2023, 3 years ago. Practices with Proform Physical Therapy LLC, a 19-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Florida, Maine, New Hampshire and New Jersey.

Years since qualifying
3
Licensed in
FL, ME, NH, NJ
In the registry since
2023
Specialties on file
4
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

65 Portland Rd Ste 5
Kennebunk, ME 04043-6742
Phone: (207) 985-6181
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 7410 Boynton Beach Blvd Ste A11, Boynton Beach, FL 33437-6157 — (561) 731-0163
  • 37 Main St, Conway, NH 03818-6166 — (603) 447-2533
  • 1077 Route 34 Ste M, Aberdeen, NJ 07747-2151 — (732) 970-7882

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT7464 (ME)
Physical Therapist Taxonomy 225100000X · Licence 40QA02196100 (NJ)
Physical Therapist Taxonomy 225100000X · Licence PT44221 (FL)
Physical Therapist Taxonomy 225100000X · Licence CP048807T (NH)

Record details

NPI number1720861966
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorNo
NPI enumeratedAugust 14, 2023
Last updated in NPPESJune 11, 2026
Certification dateJune 11, 2026
Mailing address37 Main St, Conway, NH 03818-6166

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Proform Physical Therapy Llc — 19 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Kennebunk