Active NPI
Richard Palmer
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 11851 N 51St Ave Ste D110
Glendale, AZ 85304-2825 - Phone
- (623) 934-1154
- NPI assigned
- Feb 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | AZ | Primary | |
| Behavior Technician | 106S00000X |
Addresses
Primary practice location
11851 N 51St Ave Ste D110
Glendale, AZ 85304-2825
Mailing address
11851 N 51St Ave Ste D110
Glendale, AZ 85304-2825
Phone (623) 934-1154
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
11851 N 51St Ave
Suite 110
Glendale, AZ 85304-2809
Phone (480) 653-8200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kinect Physical Therapy, PLLC | Physical Therapist | Current | Accepting new patients |
| DPT Holdings PLLC | Physical Therapist | Current | Accepting new patients |
Locations
950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730
11851 N 51st Ave
Ste D110
Glendale, AZ 85304
Phone (623) 934-1154
11851 N 51st Ave
Unit 110
Glendale, AZ 85304
11851 N 51st Ave
Ste 110
Glendale, AZ 85304
Phone (602) 252-0859
21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829
4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200
9364 E Raintree Dr
Ste 103
Scottsdale, AZ 85260
Phone (480) 661-1124
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Chandler, AZ
- NPI 1811265929
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1550448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724371200000",
"number": "1013473842",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11851 N 51ST AVE STE D110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853042825",
"telephone_number": "623-934-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11851 N 51ST AVE STE D110",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853042825",
"telephone_number": "623-934-1154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALMER",
"first_name": "RICHARD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-02-18",
"last_updated": "2024-08-23",
"certification_date": "2024-08-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": null,
"primary": true
},
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.