Active NPI
Jenifer L Palacios
- Physical Therapy Assistant
- St Thomas, VI
National Provider Identifier
1023355393
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 0012969
- Practice address
- 1001 Estate Ross Ste 8
St Thomas, VI 00802 - Phone
- (340) 779-4678
- NPI assigned
- Jan 7, 2013
- Last updated
- Jan 7, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 0012969 | CO | Primary |
Addresses
Primary practice location
1001 Estate Ross Ste 8
St Thomas, VI 00802
Mailing address
2189 Latham St
Simi Valley, CA 93065
Phone (805) 587-3378
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0012969 | CO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1357516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1357516800000",
"number": "1023355393",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2189 LATHAM ST",
"city": "SIMI VALLEY",
"state": "CA",
"postal_code": "93065",
"telephone_number": "805-587-3378"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 ESTATE ROSS STE 8",
"city": "ST THOMAS",
"state": "VI",
"postal_code": "00802",
"telephone_number": "340-779-4678"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALACIOS",
"first_name": "JENIFER",
"middle_name": "L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-01-07",
"last_updated": "2013-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CO",
"license": "0012969",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Thomas, VI
- Ermin E. Olive, M.S.,RD
- On the Go Physio
- On the Go Physio LLC
- Open Arms Adult Daycare & Respite Services, LLC
- Wilson Nicolas Otero, M.D.
- Paradise Chiropractic and Wellness Center of STX
- Paradise Surgical, LLC
- Paragon Surgical Center, LLC
- Paramount Medical (Garfield A. Less, MD)
- Lisa Alexandria Parfitt, OT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.