Active NPI
Greg Palencik
- Physical Therapist
- Heathrow, FL
National Provider Identifier
1063685683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070016240
- Practice address
- 1485 International Parkway
Voyage Staffing
Heathrow, FL 32746 - Phone
- (800) 798-6035
- NPI assigned
- Apr 3, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070016240 | OH | Primary |
Addresses
Primary practice location
1485 International Parkway
Voyage Staffing
Heathrow, FL 32746
Mailing address
3029 Mathers Way
Twinsburg, OH 44087-2641
Phone (330) 646-7108
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 070016240 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207180800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207180800000",
"number": "1063685683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3029 MATHERS WAY",
"city": "TWINSBURG",
"state": "OH",
"postal_code": "440872641",
"telephone_number": "330-646-7108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1485 INTERNATIONAL PARKWAY",
"address_2": "VOYAGE STAFFING",
"city": "HEATHROW",
"state": "FL",
"postal_code": "32746",
"telephone_number": "800-798-6035"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PALENCIK",
"first_name": "GREG",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-04-03",
"last_updated": "2008-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "070016240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Heathrow, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.