Derek Lee Palmer, DPT

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

61133 Issued in OR

Practice address

2521 Boone Rd SE # 100
Salem, OR 97306-9675

Phone

(503) 585-5131

Fax

(503) 585-4065

NPI assigned

Jul 31, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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 Therapy Northwest Limited Partnership

  • Rehabilitation Clinic/Center
  • Stayton, OR
  • NPI 1255843355

  Orthopedic

  NPD (past)
• PT Northwest LLC

  • Physical Therapy Clinic/Center
  • Salem, OR
  • NPI 1417934886
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1438300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1438732800000",
    "number": "1033595129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "685 36TH AVE NE",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973014741",
            "telephone_number": "503-540-8701",
            "fax_number": "503-371-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2521 BOONE RD SE # 100",
            "city": "SALEM",
            "state": "OR",
            "postal_code": "973069675",
            "telephone_number": "503-585-5131",
            "fax_number": "503-585-4065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "DEREK",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-31",
        "last_updated": "2015-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "OR",
            "license": "61133",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pain Management Northwest, Inc
• Pain Solutions Physical Therapy LLC
• Gina Michele Paine, PHYSICAL THERAPIST
• Thomas Rado Palandech, DDS
• Nadine Smith Palmateer, MA
• John David Palmer, DC
• Shelly Kaye Palmer
• Wayne C Palmer, PHD
• Isaac Palomo, CRM
• Keniamarie Ann Palumbo

• Orthopedic Physical Therapist in Salem, OR
• Providers in Salem, OR by specialty
• Orthopedic Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.