Taylor Palmer, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

5502005129

Practice address

1333 Wells St
Niles, MI 49120-1543

Phone

(269) 684-1111

NPI assigned

May 1, 2018

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1525132800000",
    "number": "1063900421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5500 E PARADISE RD",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490148351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1333 WELLS ST",
            "city": "NILES",
            "state": "MI",
            "postal_code": "491201543",
            "telephone_number": "269-684-1111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMER",
        "first_name": "TAYLOR",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-05-01",
        "last_updated": "2018-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": "5502005129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexandria Lynn Osborne
• Madison Ossewaarde
• Outlaw Physical Therapy, PLLC
• Derrick Mikel Outlaw, DPT
• Karen L Palmer, MSW
• Olivia Parker
• Brandi Parks
• Lori Ann Michelle Partee, LMSW
• Sandipkumar Patel, R.PH
• Vipulchandra Patel

• Physical Therapy Assistant in Niles, MI
• Providers in Niles, MI by specialty
• Physical Therapy Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2018; 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.