Individual provider Active NPI

Teresa Marie Palmisano, OT

  • Occupational Therapist
  • West Allis, WI
National Provider Identifier
1073822458
Registry record updated Oct 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2692-26 Issued in WI
Practice address
9806 W Lincoln Ave
West Allis, WI 53227-2234
Phone
(414) 543-5330
NPI assigned
Oct 1, 2010
Last updated
Oct 1, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2692-26 WI Primary

Addresses

Primary practice location

9806 W Lincoln Ave
West Allis, WI 53227-2234

Mailing address

322 W College Ave
Milwaukee, WI 53207-6224
Phone (414) 839-9129

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710001785 WI Practitioner - Occupational Therapist in Private Practice 8921467838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
May accept Medicare assignment
Group practices
Therapy at Home LLCGroup PAC ID 0244522217, 10 clinicians
Muslim Community and Health Center of Wisconsin Inc.Group PAC ID 7618258062, 17 clinicians

Practice addresses (Care Compare)

7711 Freeland CT
Greendale, WI 53129-1658
Phone (414) 210-0088

803 W Layton Ave
Milwaukee, WI 53221-2426
Phone (414) 939-4411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2692-26WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Comprehensive Podiatry Services CurrentSince Oct 1, 2023 Accepting new patients
Therapy at Home LLC CurrentSince Jun 16, 2023 Accepting new patients
Muslim Community and Health Center of Wisconsin Inc CurrentSince Oct 1, 2023 Accepting new patients

Locations

307 W Layton Ave
Unit 2B
Milwaukee, WI 53207

803 W Layton Ave
Milwaukee, WI 53221
Phone (414) 253-8330

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1285891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285891200000",
    "number": "1073822458",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "322 W COLLEGE AVE",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532076224",
            "telephone_number": "414-839-9129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9806 W LINCOLN AVE",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532272234",
            "telephone_number": "414-543-5330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALMISANO",
        "first_name": "TERESA",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-01",
        "last_updated": "2010-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "2692-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Allis, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2010; 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.

Verify at the official NPI Registry.