NPIMap

Organization Active NPI

Excelserv PLLC

  • Physical Therapist
  • Ivins, UT
National Provider Identifier
1104133180
Registry record updated Sep 11, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
372070-2401 Issued in UT
Legal business name
EXCELSERV PLLC
Practice address
340 Snow Canyon Dr
# 15
Ivins, UT 84738-6495
Phone
(435) 817-8100
NPI assigned
Sep 11, 2010
Last updated
Sep 11, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2010

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

Authorized official

Name
Mr. Michael Eugene Palmieri, PTNPI 1679593230
Title
President
Phone
(435) 817-8100

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5062 AZ
Physical Therapist 225100000X 1744 NV
Physical Therapist 225100000X 372070-2401 UT Primary

Addresses

Primary practice location

340 Snow Canyon Dr
# 15
Ivins, UT 84738-6495

Mailing address

340 Snow Canyon Dr
# 15
Ivins, UT 84738-6495
Phone (435) 817-8100

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1284163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284163200000",
    "number": "1104133180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 SNOW CANYON DR",
            "address_2": "# 15",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386495",
            "telephone_number": "435-817-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 SNOW CANYON DR",
            "address_2": "# 15",
            "city": "IVINS",
            "state": "UT",
            "postal_code": "847386495",
            "telephone_number": "435-817-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCELSERV PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-11",
        "last_updated": "2010-09-11",
        "status": "A",
        "authorized_official_last_name": "PALMIERI",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "EUGENE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "435-817-8100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "5062",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "1744",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "372070-2401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ivins, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2010; 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.