Individual provider Active NPI

Laura Marie Palko

  • Occupational Therapist
  • Cleveland, OH
National Provider Identifier
1083290399
Registry record updated Mar 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT011017 Issued in OH
Practice address
800 Linn Dr
Cleveland, OH 44108-2755
Phone
(216) 246-8895
NPI assigned
Mar 18, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 18, 2021

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 OT011017 OH Primary

Addresses

Primary practice location

800 Linn Dr
Cleveland, OH 44108-2755

Mailing address

14520 Orchard Park Ave
Cleveland, OH 44111-2117
Phone (216) 246-8895

Other practice location 1

2200 E 55th St
Cleveland, OH 44103-4406
Phone (216) 246-8895 ext. 21624

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL laura.palko@clevelandmetroschools.org

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

LicenseStateTypeSpecialty
OT011017OHMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1616025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616025600000",
    "number": "1083290399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14520 ORCHARD PARK AVE",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441112117",
            "telephone_number": "216-246-8895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 LINN DR",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441082755",
            "telephone_number": "216-246-8895"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 E 55th St",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "441034406",
            "country_code": "US",
            "telephone_number": "216-246-8895 x21624",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALKO",
        "first_name": "LAURA",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-18",
        "last_updated": "2021-03-18",
        "certification_date": "2021-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OH",
            "license": "OT011017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "laura.palko@clevelandmetroschools.org",
            "affiliation": "N",
            "address_1": "800 Linn Dr",
            "city": "Cleveland",
            "state": "OH",
            "country_code": "US",
            "postal_code": "441082755",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2021; 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.